Farhan J. Khawaja|Nilay D. Shah|Ryan J. Lennon|Joshua P. Slusser|Ayad Al-Katib|Charanjit S. Rihal|Bernard J. Gersh|Víctor M. Montori|David R. Holmes|Malcolm R. Bell|Jeptha P. Curtis|Harlan M. Krumholz|Henry H. Ting
Factors Associated With 30-Day Readmission Rates After Percutaneous Coronary Intervention
Mayo Clinic in Arizona
thirtyday readmission rates become publicly reported quality performance measure congestive heart failure acute myocardial infarction percutaneous coronary intervention pci however little known regarding factors associated 30day readmission pcito assess demographic clinical procedural factors associated 30day readmission rates pci identified 15 498 pci hospitalizations elective acute coronary syndromes january 1998 june 2008 saint marys hospital rochester minnesota included analysis multivariate logistic regression models used estimate adjusted association demographic clinical procedural variables 30day readmission association 30day readmission 1year mortality estimated using cox proportional hazards models readmission timedependent covariate using landmark analysis main outcome measures allcause 30day readmission hospital following pci 1year mortalityoverall 94 pcis n 1459 readmitted 068 pcis n 106 resulted death within 30 days discharge multivariate analysis female sex medicare insurance less high school education unstable angina cerebrovascular accident transient ischemic attack moderate severe renal disease chronic obstructive pulmonary disease peptic ulcer disease metastatic cancer length stay 3 days associated increased risk 30day readmission pci thirtyday readmission pci associated higher risk 1year mortality adjusted hazard ratio 138 95 ci 108175 p 009nearly 1 10 patients undergoing pci readmitted within 30 days thirtyday readmission pci associated higher risk 1year mortality