Document Type : Original Article
Authors
1
Demonstrator of Critical Care & Emergency Nursing, Faculty of Nursing, Assuit University, Egypt.
2
Professor of Critical Care & Emergency Nursing, Faculty of Nursing, Assuit University, Egypt.
3
Professor of Critical Care & Emergency Nursing Faculty of Nursing, Assuit University, Egypt.
4
Professor of Neuro Surgery, Faculty of Medicine, Assuit University, Egypt.
10.21608/asnj.2025.418441.2168
Abstract
Background: Emergency neurological surgeries are often associated with complex recovery requirements, increased risk of complications, and high morbidity. Finding readmission predictors is essential to improving recovery and lowering healthcare costs. Aim of study was to assess predictors of hospital readmission for patients undergoing emergency neurosurgeries. Research design: Descriptive research design was utilized. Setting: This study was conducted in Emergency and Intensive Care Unit in trauma hospital and Neuro-Psychiatry _Neuro Surgery hospital at Assuit University. Sample: Convenience sample of 131 both male and female patients undergoing emergency neurosurgery, with age groups ranging from 18-65 years. Tools: two tools were utilized, Tool (I): Patient Neurological assessment sheet. Tool (II): Clinical risk scoring tool to predict readmission after neurosurgery by using LACE score. Results: The incidence of Hospital readmission among neurosurgical patients about 22.1%, common in age group 51 -65, about (57.1%). Results showed that mortality rate for patients undergoing emergency neurosurgeries about (16.0%).Conclusion: Following emergency neurosurgery, the primary risk factors influencing hospital readmission and mortality are age, comorbidities, length of hospital stay, and perioperative clinical signs. Recommendation: Nursing protocol must be implemented for nurses, who are integral in patient care, for early recognition and management of complications after emergency neurosurgeries.
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