Comparison of 30-Day Unplanned Readmissions to the Index Versus Nonindex Hospital After Percutaneous Coronary Intervention

The American Journal of Cardiology
Chun Shing KwokMamas A Mamas

Abstract

There is limited information about readmissions to index compared with nonindex hospitals after percutaneous coronary intervention (PCI). This study aims to evaluate the rates, causes, and outcomes for unplanned readmissions following PCI depending on whether the patients were admitted to the index or nonindex hospital. Patients who underwent PCI between 2010 and 2014 in the United States. Nationwide Readmission Database were evaluated for unplanned readmissions at 30 days to index and nonindex hospitals. A total of 2,183,851 procedures were analyzed, with a 9.2% 30-day unplanned readmission rate documented, and 7.1% and 2.1% of these readmissions were admitted to the index and nonindex hospitals, respectively. There was also a higher prevalence of co-morbidities among patients readmitted to nonindex hospitals, and more patients who were discharged against medical advice at index PCI. Noncardiac readmissions were lower among patients who were readmitted to the index compared with nonindex hospital (53.4% vs 61.1%, p < 0.001). There were greater adjusted odds of acute myocardial infarction (AMI) (odds ratio [OR] 1.14 95%CI 1.06 to 1.22), PCI (OR 2.25 95%CI 2.06 to 2.46), and composite outcome (AMI, readmission PCI, and all-cause...Continue Reading

References

Apr 24, 2007·Archives of Disease in Childhood·Vidya Sudhakar-Krishnan, Mary C J Rudolf
Jan 16, 2014·Circulation. Cardiovascular Interventions·Jason H WasfyRobert W Yeh
Jul 22, 2018·JACC. Cardiovascular Interventions·Chun Shing KwokMamas A Mamas

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Citations

May 30, 2020·Journal of the American Heart Association·Kirk N Garratt
Aug 26, 2021·Journal of Comparative Effectiveness Research·Nicolas GoveaMarguerite Hoyler

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