Readmissions in the Year After Percutaneous Coronary Intervention
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Why the study?
Prior studies have evaluated correlates of 30-day readmission but have not evaluated correlates of readmission beyond 30 days after PCI.
Population
6265 patients treated at Geisinger hospitals with PCI
Comparison
Timing of readmission (1-30 days vs 31-365 days) and reason (ischemic heart disease-related vs not related)
Design
Cohort study
Follow-up
1 year
Authors
Discussion
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Implication
May inform 1-year post-PCI risk stratification; leaves open whether targeted interventions reduce readmissions.
Structured PICO
P
Population
6,265 patients treated at Geisinger hospitals with percutaneous coronary intervention (PCI) between January 2010 and December 2015. Mean age 64.3 years, 70% male, 98.8% Caucasian.
I
Intervention
Percutaneous coronary intervention (PCI)
O
Outcome
Hospital readmissions (including emergency department visits and inpatient admissions) within 365 days of the PCI encounter discharge datehard clinical
Readmission is common in the first year after PCI, with two-thirds of readmissions occurring after the first 30 days, highlighting the need for continued care and risk factor modification beyond the immediate post-discharge period.
Limitations
- Only considered the first re-admission for each patient, underestimating the total burden of re-admission
- Did not identify patients readmitted for elective (staged) PCI
Cite This Study
Blankenship et al. (2022) studied this question.
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