Thirty-day Hospital Readmissions in Patients with Non-ST-segment Elevation Acute Myocardial Infarction
Autor: | Nathaniel Erskine, Joel M. Gore, Robert J. Goldberg, Edgard A. Granillo, Mayra Tisminetzky, David D. McManus, Jorge L. Yarzebski, Jane S. Saczynski |
---|---|
Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Time Factors Myocardial Infarction Patient Readmission Risk Assessment Severity of Illness Index Article Cohort Studies Electrocardiography Sex Factors Predictive Value of Tests Severity of illness medicine Humans ST segment Hospital Mortality Myocardial infarction Survival rate Aged Retrospective Studies Aged 80 and over Academic Medical Centers business.industry Medical record Age Factors Retrospective cohort study General Medicine Length of Stay Middle Aged medicine.disease Hospitalization Survival Rate Treatment Outcome Massachusetts Predictive value of tests Multivariate Analysis Emergency medicine Female business Follow-Up Studies Cohort study |
Zdroj: | The American Journal of Medicine. 128:760-765 |
ISSN: | 0002-9343 1999-2009 |
Popis: | Background Limited data exist about relatively recent trends in the magnitude and characteristics of patients who are rehospitalized shortly after admission for a non-ST-segment elevation acute myocardial infarction (NSTEMI). This observational study describes decade-long trends (1999-2009) in the magnitude and characteristics of patients readmitted to the hospital within 30 days of hospitalization for an incident (initial) episode of NSTEMI. Methods We reviewed the medical records of 2249 residents of the Worcester (Mass) metropolitan area who were hospitalized for an initial NSTEMI in 6 biennial periods between 1999 and 2009 at 3 central Massachusetts medical centers. Results The average age of our study population was 72 years, 90% were white, and 46% were women. The proportion of patients who were readmitted to the hospital for any cause within 30 days after discharge for an NSTEMI remained unchanged between 1999 and 2009 (approximately 15%) in both crude and multivariable adjusted analyses. Slight declines were observed for cardiovascular disease-related 30-day readmissions over the 10-year study period. Women, elderly patients, those with multiple chronic comorbidities or a prolonged index hospitalization, and patients who developed heart failure during their index hospitalization were at higher risk for being readmitted within 30 days than respective comparison groups. Conclusion Thirty-day hospital readmission rates after hospital discharge for a first NSTEMI remained stable between 1999 and 2009. We identified several groups at higher risk for hospital readmission; further surveillance efforts and/or tailored educational and treatment approaches remain needed for these groups. |
Databáze: | OpenAIRE |
Externí odkaz: |