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Thirty day hospital re-admissions in patients with non ST-segment elevation acute myocardial infarction
Quantitative Health Sciences Publications and Presentations
  • Mayra Tisminetzky, University of Massachusetts Medical School
  • David D. McManus, University of Massachusetts Medical School
  • Nathaniel Erskine, University of Massachusetts Medical School Worcester
  • Jane S. Saczynski, University of Massachusetts Medical School
  • Jorge L. Yarzebski, University of Massachusetts Medical School
  • Edgard A. Granillo, University of Massachusetts Medical School
  • Joel Gore, University of Massachusetts Medical School Worcester
  • Robert J. Goldberg, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences; Department of Medicine, Division of Cardiovascular Medicine; Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine
Publication Date
7-1-2015
Document Type
Article
Abstract
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 2,249 residents of the Worcester (MA) metropolitan area who were hospitalized for an initial NSTEMI in 6 biennial periods between 1999 and 2009 at 3 central MA 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 a 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 ten-year study period. Women, elderly patients, those with multiple chronic comorbidities, 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. CONCLUSIONS: 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 in whom further surveillance efforts and/or tailored educational and treatment approaches remain needed.
Keywords
  • UMCCTS funding
Rights and Permissions
Citation: Am J Med. 2015 Jul;128(7):760-5. doi: 10.1016/j.amjmed.2015.01.022. Epub 2015 Feb 3. Link to article on publisher's site
PubMed ID
25660250
Related Resources
Link to Article in PubMed
Citation Information
Mayra Tisminetzky, David D. McManus, Nathaniel Erskine, Jane S. Saczynski, et al.. "Thirty day hospital re-admissions in patients with non ST-segment elevation acute myocardial infarction" Vol. 128 Iss. 7 (2015) ISSN: 0002-9343 (Linking)
Available at: http://works.bepress.com/robert_goldberg/413/