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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| Format: | Journal Article |
| Language: | English |
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MDPI
2020
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| Subjects: | |
| Online Access: | http://purl.org/au-research/grants/nhmrc/1111170 http://hdl.handle.net/20.500.11937/93082 |
| _version_ | 1848765692318318592 |
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| author | Biswas, S. Dinh, D. Lucas, M. Duffy, S.J. Brennan, A.L. Liew, D. Cox, N. Nadurata, V. Reid, Christopher Lefkovits, J. Stub, D. |
| author_facet | Biswas, S. Dinh, D. Lucas, M. Duffy, S.J. Brennan, A.L. Liew, D. Cox, N. Nadurata, V. Reid, Christopher Lefkovits, J. Stub, D. |
| author_sort | Biswas, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-14T11:39:17Z |
| format | Journal Article |
| id | curtin-20.500.11937-93082 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:39:17Z |
| publishDate | 2020 |
| publisher | MDPI |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-930822023-10-16T08:06:36Z Incidence and predictors of unplanned hospital readmission after percutaneous coronary intervention Biswas, S. Dinh, D. Lucas, M. Duffy, S.J. Brennan, A.L. Liew, D. Cox, N. Nadurata, V. Reid, Christopher Lefkovits, J. Stub, D. Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine percutaneous coronary intervention readmissions outcomes ALL-CAUSE READMISSION 30-DAY READMISSION REPEAT REVASCULARIZATION HEART-FAILURE REGISTRIES IMPACT RATES outcomes percutaneous coronary intervention readmissions 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. 2020 Journal Article http://hdl.handle.net/20.500.11937/93082 10.3390/jcm9103242 English http://purl.org/au-research/grants/nhmrc/1111170 http://purl.org/au-research/grants/nhmrc/1136372 http://creativecommons.org/licenses/by/4.0/ MDPI fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine percutaneous coronary intervention readmissions outcomes ALL-CAUSE READMISSION 30-DAY READMISSION REPEAT REVASCULARIZATION HEART-FAILURE REGISTRIES IMPACT RATES outcomes percutaneous coronary intervention readmissions Biswas, S. Dinh, D. Lucas, M. Duffy, S.J. Brennan, A.L. Liew, D. Cox, N. Nadurata, V. Reid, Christopher Lefkovits, J. Stub, D. 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 | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine percutaneous coronary intervention readmissions outcomes ALL-CAUSE READMISSION 30-DAY READMISSION REPEAT REVASCULARIZATION HEART-FAILURE REGISTRIES IMPACT RATES outcomes percutaneous coronary intervention readmissions |
| url | http://purl.org/au-research/grants/nhmrc/1111170 http://purl.org/au-research/grants/nhmrc/1111170 http://hdl.handle.net/20.500.11937/93082 |