Key result
Index PCI for non-ACS is linked to ~246% higher 30-day unplanned readmission risk versus ACS.
Why the study?
PCI improves anginal chest pain in most but not all patients, and is associated with unplanned readmissions for angina and non-specific chest pain within 30 days.
What is the rate and what are the predictors of 30-day unplanned readmission with chest pain after percutaneous coronary intervention?
Population
2 723 455 patients with an index hospitalization for PCI
Comparison
Unplanned readmission vs no unplanned readmission, and angina vs non-specific chest pain readmissions
Design
Retrospective database cohort study
Follow-up
30-days
Authors
Loading...
Non-ACS PCI may warrant closer post-discharge surveillance; leaves open whether targeted interventions reduce readmissions.
Cohort (n=2,723,455)
Yes
What is the rate and what are the predictors of 30-day unplanned readmission with chest pain after percutaneous coronary intervention?
Unplanned 30-day readmissions after PCI occur in 7.2% of patients, are frequently due to angina or non-specific chest pain, and are strongly predicted by non-ACS indications and modifiable risk factors.
Sykes et al. (2021) conducted a cohort in Percutaneous coronary intervention (n=2,723,455). Percutaneous coronary intervention was evaluated on 30-day unplanned readmission. Index PCI performed for non-acute coronary syndromes was strongly associated with 30-day unplanned readmission compared to ACS indications (OR 3.46; 95% CI 3.39-3.54).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: