Factors affecting hospital readmission rates following an acute coronary syndrome: A systematic review

Background: Although community-dwelling persons with dementia have an increased risk of hospital readmission, no systematic review has examined the contribution of dementia to readmissions. Summary: We examined articles in English, with no restrictions on publication dates, from Medline, PubMed, PsycINFO, CINAHL, and EMBASE. Keywords used were dementia, Alzheimer disease, frontotemporal lobar degeneration, elderly, frontotemporal dementia, executive function, brain atrophy, frontal lobe atrophy, cognitive impairment, readmission, readmit, rehospitalization, patient discharge, and return visit. Of 404 abstracts identified, 77 articles were retrieved; 12 were included. Four of 5 cohort studies showed significantly increased readmission rates in patients with dementia. On average the absolute increase above the comparison groups was from 3 to 13%. Dementia was not associated with readmission in 7 included case-control studies. Key Message: Findings suggest a small increased risk of hospital readmission in individuals with dementia. More study is needed.

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Retraction: Factors affecting hospital readmission rates for breast cancer patients in Western Australia

Journal of Surgical Oncology ◽

10.1002/jso.20908 ◽

2007 ◽

Vol 108 (7) ◽

pp. 504-504

Author(s):

Michael A. Martin ◽

Ramona Meyricke ◽

Terry O'Neill ◽

Steven Roberts

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Western Australia ◽

Hospital Readmission ◽

Breast Cancer Patients ◽

Readmission Rates ◽

Factors Affecting ◽

Hospital Readmission Rates

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Patient Factors Affecting Emergency Department Utilization and Hospital Readmission Rates After Primary Anterior Cervical Discectomy and Fusion

Spine ◽

10.1097/brs.0000000000003058 ◽

2019 ◽

Vol 44 (15) ◽

pp. 1078-1086 ◽

Cited By ~ 2

Author(s):

Evan D. Sheha ◽

Stephan N. Salzmann ◽

Sariah Khormaee ◽

Jingyan Yang ◽

Federico P. Girardi ◽

...

Keyword(s):

Emergency Department ◽

Hospital Readmission ◽

Anterior Cervical Discectomy ◽

Emergency Department Utilization ◽

Readmission Rates ◽

Patient Factors ◽

Factors Affecting ◽

Cervical Discectomy ◽

Hospital Readmission Rates

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Impact of age on the obesity paradox in acute coronary syndrome: a nationwide analysis

European Heart Journal ◽

10.1093/ehjci/ehaa946.1359 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

B Narasimhan ◽

K Ho ◽

L Wu ◽

M Amreia ◽

A Isath ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Hospital Mortality ◽

Hospital Admissions ◽

Obesity Paradox ◽

Index Admission ◽

Multivariate Logistic Regression Model ◽

Obese Patients ◽

Readmission Rates ◽

Coronary Syndrome ◽

Hospitalization Costs

Abstract Background The obesity paradox – indicating improved short term mortality in obese individuals has been widely explored in a number of cardiovascular conditions. However, its validity in an elderly population and the possible physiological impact of aging on this phenomenon in Acute Coronary syndrome (ACS) remain unclear. In this study, we aim to determine the relationship between obesity and in-hospital mortality, morbidity, and health care resource utilization in this cohort of patients. Methods A retrospective study was conducted using the AHRQ-HCUP National Inpatient Sample for the year 2014. Elderly adults (≥65 years) with a principal diagnosis of ACS and a secondary diagnosis of obesity were identified using ICD-9 diagnosis codes as described in the literature. The primary outcome of in-hospital mortality and secondary outcomes like length of hospital stay (LOS), and total hospitalization costs were analyzed. Propensity score (PS) using the next neighbor method without replacement with 1:1 matching was utilized to adjust for confounders. Independent risk factors for mortality were identified using a multivariate logistic regression model. Results In total, 1,137,108 hospital admissions with a primary diagnosis of ACS were identified, of which 7.46% were obese. In-hospital morality during the index admission was lower among obese patients with ACS compared to non-obese patients (4.62 vs 6.87%, p<0.001) with significantly lower 30-day readmission rates as well (p<0.001). However, in-hospital mortality rates during readmission were statistically equivalent between the obese and non-obese groups (5.6 vs 8.3%, p=0.72). LOS during the index admission was longer for obese patients (6.39 vs 5.36 days, p=0.65) but equivalent to non-obese patients during subsequent readmissions (p=0.12). The total cost of these admissions was significantly more in the obese cohort as well (p<0.001). Conclusion In this study, obese elderly patients admitted with ACS were found to have significantly reduced in-hospital mortality and 30-day readmission rates when compared to non-obese patients - reinforcing the obesity paradox independent of patient age. Funding Acknowledgement Type of funding source: None

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