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Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention

Unplanned readmissions to hospital after percutaneous coronary intervention (PCI) pose a significant burden to the healthcare system and are potentially preventable. In this study, we sought to determine the incidence of, and risk factors for, unplanned hospital readmissions within 30 days following...

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Autores principales: Biswas, Sinjini, Dinh, Diem, Lucas, Mark, Duffy, Stephen J., Brennan, Angela L., Liew, Danny, Cox, Nicholas, Nadurata, Voltaire, Reid, Christopher M., Lefkovits, Jeffrey, Stub, Dion
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600497/
https://www.ncbi.nlm.nih.gov/pubmed/33050476
http://dx.doi.org/10.3390/jcm9103242
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author Biswas, Sinjini
Dinh, Diem
Lucas, Mark
Duffy, Stephen J.
Brennan, Angela L.
Liew, Danny
Cox, Nicholas
Nadurata, Voltaire
Reid, Christopher M.
Lefkovits, Jeffrey
Stub, Dion
author_facet Biswas, Sinjini
Dinh, Diem
Lucas, Mark
Duffy, Stephen J.
Brennan, Angela L.
Liew, Danny
Cox, Nicholas
Nadurata, Voltaire
Reid, Christopher M.
Lefkovits, Jeffrey
Stub, Dion
author_sort Biswas, Sinjini
collection PubMed
description Unplanned readmissions to hospital after percutaneous coronary intervention (PCI) pose a significant burden to the healthcare system and are potentially preventable. In this study, we sought to determine the incidence of, and risk factors for, unplanned hospital readmissions within 30 days following PCI. We prospectively collected data on 28,488 patients undergoing PCI between 2013 and 2019, who were enrolled in the state-wide multi-centre Victorian Cardiac Outcomes Registry. Patients’ data were then linked to data from the Victorian Department of Health administrative database that records statewide hospital admissions. Disease diagnosis codes were used to identify cause of readmission. Patients who had an unplanned readmission were further divided into those who had a cardiac vs. non-cardiac cause for readmission. Overall, 3059 patients (10.7%) had an unplanned hospital readmission within 30 days of PCI, of which 1848 patients (60.4%) were readmitted for primarily cardiac diagnoses. Independent predictors of both 30-day unplanned cardiac and non-cardiac readmissions post-PCI were female sex, having ≥1 admission in the 12 months prior to PCI, acute coronary syndrome presentation, having any in-hospital complication and being discharged on an oral anticoagulant (all p < 0.05). A stepwise increase in readmission risk was observed with increasing number of admissions from 1 to ≥4 admissions in the 12 months prior to PCI. In conclusion, a substantial proportion of patients undergoing PCI have unexpected readmissions to hospital in the 30 days following PCI. Targeted strategies for patients with risk factors for readmission may be useful to reduce this significant burden to the healthcare system.
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spelling pubmed-76004972020-11-01 Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention Biswas, Sinjini Dinh, Diem Lucas, Mark Duffy, Stephen J. Brennan, Angela L. Liew, Danny Cox, Nicholas Nadurata, Voltaire Reid, Christopher M. Lefkovits, Jeffrey Stub, Dion J Clin Med Article Unplanned readmissions to hospital after percutaneous coronary intervention (PCI) pose a significant burden to the healthcare system and are potentially preventable. In this study, we sought to determine the incidence of, and risk factors for, unplanned hospital readmissions within 30 days following PCI. We prospectively collected data on 28,488 patients undergoing PCI between 2013 and 2019, who were enrolled in the state-wide multi-centre Victorian Cardiac Outcomes Registry. Patients’ data were then linked to data from the Victorian Department of Health administrative database that records statewide hospital admissions. Disease diagnosis codes were used to identify cause of readmission. Patients who had an unplanned readmission were further divided into those who had a cardiac vs. non-cardiac cause for readmission. Overall, 3059 patients (10.7%) had an unplanned hospital readmission within 30 days of PCI, of which 1848 patients (60.4%) were readmitted for primarily cardiac diagnoses. Independent predictors of both 30-day unplanned cardiac and non-cardiac readmissions post-PCI were female sex, having ≥1 admission in the 12 months prior to PCI, acute coronary syndrome presentation, having any in-hospital complication and being discharged on an oral anticoagulant (all p < 0.05). A stepwise increase in readmission risk was observed with increasing number of admissions from 1 to ≥4 admissions in the 12 months prior to PCI. In conclusion, a substantial proportion of patients undergoing PCI have unexpected readmissions to hospital in the 30 days following PCI. Targeted strategies for patients with risk factors for readmission may be useful to reduce this significant burden to the healthcare system. MDPI 2020-10-10 /pmc/articles/PMC7600497/ /pubmed/33050476 http://dx.doi.org/10.3390/jcm9103242 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Biswas, Sinjini
Dinh, Diem
Lucas, Mark
Duffy, Stephen J.
Brennan, Angela L.
Liew, Danny
Cox, Nicholas
Nadurata, Voltaire
Reid, Christopher M.
Lefkovits, Jeffrey
Stub, Dion
Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title_full Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title_fullStr Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title_full_unstemmed Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title_short Incidence and Predictors of Unplanned Hospital Readmission after Percutaneous Coronary Intervention
title_sort incidence and predictors of unplanned hospital readmission after percutaneous coronary intervention
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600497/
https://www.ncbi.nlm.nih.gov/pubmed/33050476
http://dx.doi.org/10.3390/jcm9103242
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