作者@article {smithp5.9 - 072 ={艾琳·史密斯和克里希纳Mourya盖拉族和哈里森•朗和艾米丽Frankel Sachin棚和马修·里佐·t·斯科特死和马修Garlinghouse尼古拉斯击打和Fuad-al阿里有年轻Baang基尔伍德沃德和布莱恩Westerhuis Danmeng魏和贾米森而Kalyan Reddy Malgireddy穆罕默德塔哈和就是约瑟夫Praveen Hariharan和丹尼尔·克雷斯波和布莱恩·维拉Trisolini Navnika古普塔和马修Purbaugh}, title ={策略来减少神经系统疾病患者出院后的负面结果。(p5.9 - 072)},体积={92}={15}补充数量,elocation-id = {p5.9 - 072} ={2019},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={的影响目的:研究强制14天出院后门诊随访出院后30天的结果神经学服务。首页背景:在2016年的回顾性研究,我们小组指出23.7 \ %的负面影响(30天重新接纳,呃,死亡)出院后住院病人神经学服务。首页我们确定了出院后回调,及时安排后续影响结果的重要因素。我们假设随时可实现机构协议如出院后14天诊所访问(RES)可以减少消极的结果相比,标准的护理(SOC)随访。设计/方法:60成人患者解除神经病学住院服务和生活在60英里从诊所将随机SOC或RES随访。首页我们收集的人口,NIH卒中量表,改良Rankin, 3 d-cam(谵妄),PDQ-9抑郁指数、大五人格量表(BFI), EuroQol五维规模(EQ-5D)。电话调查问卷是在30天,出院后6个月内完成。我们现在初步结果(9 RES 15 SOC) 24个主题。费舍尔{\ textquoteright}年代完全测试是用于分类变量之间的关联。结果:临床随访时间中位数为13天为SOC RES和70天。六个科目(五RES, SOC)参加后续的14天内,和九(四物;5 SOC)错过了后续访问。 Negative outcome occurred in 20.8\% (n=5, two RES, three SOC). Of these, three (one RES; two SOC) missed their follow-up visit. Patients with lower EQ-5D scores (p=0.02) and higher mRS scores (p=0.07) were more likely to attend follow-up.Conclusions: Post-discharge negative outcomes were not mitigated by mandatory follow-up within 14 days. Clinic no-shows have been identified as a problem as they accounted for 60\% patients with a negative outcome. We caution that these are results from interim analysis, which needs to be validated at study completion.Disclosure: Dr. Smith has nothing to disclose. Dr. Galla has nothing to disclose. Dr. Lang has nothing to disclose. Dr. Frankel has nothing to disclose. Dr. Kedar has received royalty, license fees, or contractual rights payments from EON reality inc.. Dr. Rizzo has nothing to disclose. Dr. Diesing has nothing to disclose. Dr. Garlinghouse has nothing to disclose. Dr. Swingle has nothing to disclose. Dr. Ali has nothing to disclose. Dr. Baang has nothing to disclose. Dr. Woodward has nothing to disclose. Dr. Westerhuis has nothing to disclose. Dr. Wei has nothing to disclose. Dr. Hofer has nothing to disclose. Dr. Malgireddy has nothing to disclose. Dr. Taha has nothing to disclose. Dr. Joseph has nothing to disclose. Dr. Hariharan has nothing to disclose. Dr. Crespo has nothing to disclose. Dr. Villafuerte Trisolini has nothing to disclose. Dr. Gupta has nothing to disclose. Dr. Purbaugh has nothing to disclose.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/92/15_Supplement/P5.9-072}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }