PT -期刊文章盟艾琳·史密斯AU -克里希纳Mourya盖拉族盟-哈里森朗盟-艾米丽Frankel盟萨钦基达盟-马修·里佐盟- t·斯科特死盟-马修Garlinghouse AU -尼古拉斯击打盟Fuad-al阿里盟有年轻Baang AU -基尔伍德沃德AU -布莱恩Westerhuis盟Danmeng魏盟-贾米森而非盟Kalyan Reddy Malgireddy AU -穆罕默德Taha盟就是约瑟夫盟Praveen Hariharan AU -丹尼尔·克雷斯波盟布莱恩·维拉Trisolini AU - Navnika Gupta盟马修Purbaugh TI -策略来减少出院后神经系统疾病患者的消极结果。(p5.9 - 072) DP - 2019年4月09年TA -神首页经病学第六PG - p5.9 - 072 - 92 IP - 15补充4099 - //www.ez-admanager.com/content/92/15_supplement/p5.9 072. - 072.短4100 - //www.ez-admanager.com/content/92/15_supplement/p5.9 - -全所以Neurology2019 4月09年;92 AB -目的:研究的影响必须强制出院后门诊随访14天出院后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。费舍尔的确切测试是用于分类变量之间的关联。Results: Median time to clinic follow-up was 13 days for RES and 70 days for SOC. Six subjects (five RES, one SOC) attended follow-up within 14 days, and nine (four RES; five SOC) missed follow-up visits. 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.

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