Naslov
30-day unplanned readmissions after admission with a primary diagnosis of non-specific chest pain: insights from the nationwide readmission database

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

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Journal of the American College of Cardiology Supplements / - : Elsevier, 2019, 18-18

Skup
68th Annual Scientific Session of the American College of Cardiology (ACC)

Mjesto i datum
New Orleans (LA), Sjedinjene Američke Države, 16.03.2019. - 18.03.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

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

Sažetak
Background: Chest pain is a common reason for admission to hospital. There is limited literature on 30-day unplanned readmissions after an admission with a primary discharge diagnosis of non-specific chest pain. Chest pain is a common reason for admission to hospital. There is limited literature on 30-day unplanned readmissions after an admission with a primary discharge diagnosis of non-specific chest pain. Methods: We analysed patients with a primary diagnosis of non-specific chest pain in the Nationwide Readmission Database who were admitted between 2010 and 2014. Rates, causes and predictors of 30-day unplanned readmissions were determined. Results: A total of 1, 912, 105 patients had a diagnosis of non-specific chest pain. The 30- day unplanned readmission rate was 8.4%. From 2010 to 2014, there was an increase in 30- day unplanned readmissions from 7.78% to 9.29%. The majority of 30-day unplanned readmissions were for non-cardiac reasons (73.4%). The three most prevalent non- cardiac causes for readmissions were neuropsychiatric (10.9%), gastrointestinal (10.5%) and infections (10.0%) while the three most prevalent cardiac causes were coronary artery disease including angina (8.3%), arrhythmias (6.6%) and heart failure 5.5%. Key predictors of readmission were alcohol misuse (OR 1.72 95%CI 1.65-1.80), renal failure (OR 1.81 95%CI 1.76-1.87), cancer (OR 2.29 95%CI 2.16-2.41), discharge to a nursing home (OR 2.04 95%CI 1.97-2.11) and discharge against medical advice (OR 1.91 95%CI 1.83-1.99). The rate of 30-day unplanned readmission was 5.9% among those who received any test compared to 9.0% in those who did not receive any test. Conclusion: Rates of early unplanned readmissions occur following 1 in 12 admissions for non-specific chest pain with non-cardiac 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

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