EXAMINING THE MORTALITY AND READMISSION RATES OF PATIENTS DIAGNOSED WITH STROKE IN THE UNITED STATES MEDICARE POPULATION
Author(s)
Bashyal R1, Du H1, Wang L1, Yuce H2, Baser O3
1STATinMED Research, Plano, TX, USA, 2New York City College of Technology-CUNY and STATinMED Research, New York, NY, USA, 3Columbia University and STATinMED Research, New York, NY, USA
OBJECTIVES: To examine the mortality and readmission rates of patients diagnosed with stroke in the US Medicare population. METHODS: Using Medicare data, mortality and readmission rates were calculated among patients diagnosed with stroke (International Classification of Diseases, 9th Revision, Clinical Modification codes: 433, 434, 436). Patients with continuous enrollment in a Fee-for-service Medicare health plan during the calendar year and ≥2 years prior were restricted. Using sex-specific age groups, the age- and sex-adjusted readmission rates were calculated using direct standardization for the US population aged ≥65 years in 2010. RESULTS: The 30-day and 1-year mortality rates increased by 22.2% (9 to 11 per 1000 persons) and by 18.2% (22 to 26 per 1000 persons), respectively, from 2008 to 2013. The overall adjusted readmission rates were 8.70% (2008), 8.60% (2009), 8.58% (2010), 9.53% (2011), 9.12% (2012), and 7.43% (2013). Male patients had higher readmission rates than female patients across all study years. Readmission rates were highest among patients aged 65-69 years during 2008 (9.72%), 2011 (10.25%), and 2012 (10.04%), whereas readmission rates were highest among patients aged 70-74 in 2009 (9.65%) and among those aged 75-79 in 2010 (10.11%) and 2013 (7.96%). Readmission rates were highest among Hispanic patients in 2009 (9.07%), other race in 2008 (13.94%), North American Native in 2010 (15.03%) and 2011 (12.69%), and Asian patients in 2012 (11.10%) and 2013 (9.24%). Readmission rate results varied according to state. CONCLUSIONS: Compared to 2008, Medicare beneficiaries diagnosed with stroke had higher mortality rates from 2009 to 2013, with the highest 1-year mortality rate in 2012. Overall readmission rates were highest during 2011 and decreased in 2012 and 2013. Readmission rate results varied by age group, race, and state.
Conference/Value in Health Info
2016-05, ISPOR 2016, Washington DC, USA
Value in Health, Vol. 19, No. 3 (May 2016)
Code
PCV6
Topic
Clinical Outcomes, Epidemiology & Public Health
Topic Subcategory
Relating Intermediate to Long-term Outcomes, Safety & Pharmacoepidemiology
Disease
Cardiovascular Disorders