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Pregled bibliografske jedinice broj: 1058444

Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database)

Kwok, Chun Shing; Parwani, Purvi J.; Fischman, David L.; Thamman, Ritu; Suwaidi, Jassim al; Mohamed, Mohamed; Borovac, Josip Anđelo; Loke, Yoon K.; Kontopantelis, Evangelos; Brown, David L.; Mamas, Mamas A.
Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database) // The American journal of cardiology, 123 (2019), 8; 1343-1350 doi:10.1016/j.amjcard.2019.01.012 (međunarodna recenzija, članak, znanstveni)

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Naslov
Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database)

Autori
Kwok, Chun Shing ; Parwani, Purvi J. ; Fischman, David L. ; Thamman, Ritu ; Suwaidi, Jassim al ; Mohamed, Mohamed ; Borovac, Josip Anđelo ; Loke, Yoon K. ; Kontopantelis, Evangelos ; Brown, David L. ; Mamas, Mamas A.

Izvornik
The American journal of cardiology (0002-9149) 123 (2019), 8; 1343-1350

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
chest pain ; myocardial infarction ; readmissions ; united states ; emergency medicine ; cardiology

Sažetak
Chest pain is a common reason for admission to hospital and little is known regarding 30-day unplanned readmissions after an admission with a primary discharge diagnosis of nonspecific chest pain. We analyzed patients with a primary diagnosis of nonspecific chest pain in the Nationwide Readmission Database who were admitted in 2010 to 2014. Rates, causes, and predictors of 30-day unplanned readmissions were determined. A total of 1, 842, 270 patients had a diagnosis of nonspecific chest pain. The 30-day unplanned readmission rate was 8.6%. From 2010 to 2014, there was an increase in 30- day unplanned readmissions from 8.1% to 9.5%. The majority of 30-day unplanned readmissions were for noncardiac reasons (73.4%). The 3 most prevalent noncardiac causes for readmissions were neuropsychiatric (10.9%), gastrointestinal (10.5%), and infections (9.9%), while the 3 most prevalent cardiac causes were coronary artery disease including angina (8.4%), arrhythmias (6.6%), and heart failure 5.5%. The strongest predictors of readmission were alcohol misuse ([OR] odds ratio 1.74 95% [CI] confidence interval 1.66– 1.81), renal failure (OR 1.82 95%CI 1.76–1.87), cancer (OR 2.40 95%CI 2.27–2.53), discharge to a nursing home (OR 2.26 95%CI 2.18–2.34), and discharge against medical advice (OR 1.94 95%CI 1.86– 2.02). The rate of 30-day unplanned readmission was 6.1% among those who received any test compared to 9.3% in those who did not receive any test. Rates of early unplanned readmissions occur following 1 in 12 admissions for nonspecific chest pain with noncardiac causes being the most common reason. Patients who receive a cardiovascular investigation appear to have fewer unplanned readmissions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA

Ustanove:
KBC Split,
Medicinski fakultet, Split

Profili:

Avatar Url Josip Anđelo Borovac (autor)

Poveznice na cjeloviti tekst rada:

doi www.ajconline.org

Citiraj ovu publikaciju:

Kwok, Chun Shing; Parwani, Purvi J.; Fischman, David L.; Thamman, Ritu; Suwaidi, Jassim al; Mohamed, Mohamed; Borovac, Josip Anđelo; Loke, Yoon K.; Kontopantelis, Evangelos; Brown, David L.; Mamas, Mamas A.
Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database) // The American journal of cardiology, 123 (2019), 8; 1343-1350 doi:10.1016/j.amjcard.2019.01.012 (međunarodna recenzija, članak, znanstveni)
Kwok, C., Parwani, P., Fischman, D., Thamman, R., Suwaidi, J., Mohamed, M., Borovac, J., Loke, Y., Kontopantelis, E., Brown, D. & Mamas, M. (2019) Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database). The American journal of cardiology, 123 (8), 1343-1350 doi:10.1016/j.amjcard.2019.01.012.
@article{article, author = {Kwok, Chun Shing and Parwani, Purvi J. and Fischman, David L. and Thamman, Ritu and Suwaidi, Jassim al and Mohamed, Mohamed and Borovac, Josip An\djelo and Loke, Yoon K. and Kontopantelis, Evangelos and Brown, David L. and Mamas, Mamas A.}, year = {2019}, pages = {1343-1350}, DOI = {10.1016/j.amjcard.2019.01.012}, keywords = {chest pain, myocardial infarction, readmissions, united states, emergency medicine, cardiology}, journal = {The American journal of cardiology}, doi = {10.1016/j.amjcard.2019.01.012}, volume = {123}, number = {8}, issn = {0002-9149}, title = {Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database)}, keyword = {chest pain, myocardial infarction, readmissions, united states, emergency medicine, cardiology} }
@article{article, author = {Kwok, Chun Shing and Parwani, Purvi J. and Fischman, David L. and Thamman, Ritu and Suwaidi, Jassim al and Mohamed, Mohamed and Borovac, Josip An\djelo and Loke, Yoon K. and Kontopantelis, Evangelos and Brown, David L. and Mamas, Mamas A.}, year = {2019}, pages = {1343-1350}, DOI = {10.1016/j.amjcard.2019.01.012}, keywords = {chest pain, myocardial infarction, readmissions, united states, emergency medicine, cardiology}, journal = {The American journal of cardiology}, doi = {10.1016/j.amjcard.2019.01.012}, volume = {123}, number = {8}, issn = {0002-9149}, title = {Nonspecific Chest Pain and 30-Day Unplanned Readmissions in the United States (From the Nationwide Readmission Database)}, keyword = {chest pain, myocardial infarction, readmissions, united states, emergency medicine, cardiology} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE

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