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Hospital Financial Structure and Unplanned Rehospitalization Following Acute Myocardial Infarction in the United States
Key result
For-profit hospital status is linked to ~15% greater odds of 30-day nonelective readmission after AMI.
- AOR 1.15
- n=4,636,970
Why the study?
Although for-profit hospitals have shown higher readmission rates than not-for-profit counterparts, ownership-related trends in readmissions and outcomes following AMI remain poorly characterized.
Does treatment at for-profit hospitals increase 30-day nonelective readmission rates in adults with acute myocardial infarction?
Population
4,636,970 adult nonelective AMI hospitalizations from the 2013 to 2022 Nationwide Readmissions Database
Comparison
For-profit hospitals vs not-for-profit hospitals
Design
Retrospective observational study using Nationwide Readmissions Database
Follow-up
30 days
Authors
Discussion
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Member takes
Implication
May warrant quality monitoring at for-profit hospitals; leaves open whether ownership causally drives readmissions or reflects unmeasured factors.
JACC Advances · cohort study. After AMI, for-profit hospitals linked to more 30-day readmissions. Hospital Financial Structure and Unplanned Rehospitalization Following Acute Myocardial Infarction in the United States Although for-profit hospitals have shown higher readmission rates than not-for-profit counterparts, ownership-related trends in readmissions and outcomes following AMI remain poorly characterized. Does treatment at for-profit hospitals increase 30-day nonelective readmission rates in adults with acute myocardial infarction? 4636970 participants, Retrospective observational study using…. 30-day nonelective readmission: OR 1.15. For-profit hospital status was independently associated with greater odds of 30-day nonelective readmission (adjusted OR 1.15) following acute myocardial infarction. Read the evidence. See where experts stand. synapsesocial.com/papers/6aa55530327956e4761fa08b
Key Points
- Assess temporal trends in 30-day nonelective readmissions and post-readmission clinical outcomes among acute myocardial infarction patients stratified by hospital ownership between 2013 and 2022.
- Extracted nonelective acute myocardial infarction admissions (N=4,636,970) from the 2013–2022 Nationwide Readmissions Database, stratifying by for-profit versus not-for-profit hospital ownership.
- Analyzed longitudinal readmission trends using the Cuzick nonparametric test and evaluated readmission outcomes using doubly robust methodology.
- Unplanned 30-day readmission rates significantly declined at not-for-profit hospitals from 11.5% to 10.5% (P < 0.001) but remained stable at for-profit hospitals from 13.0% to 12.7% (P = 0.09).
- For-profit hospital status was independently associated with increased odds of 30-day nonelective readmission (AOR 1.15), respiratory complications (AOR 1.11), renal complications (AOR 1.04), and nonhome discharge (AOR 1.07).
Study Design
Type
Observational (n=4,636,970)
Multicenter
Yes
Structured PICO
Does treatment at for-profit hospitals increase 30-day nonelective readmission rates in adults with acute myocardial infarction?
P
Population
4,636,970 adult nonelective acute myocardial infarction hospitalizations in the United States from 2013 to 2022, assessed for 30-day unplanned readmission.
E
Exposure
Treatment at for-profit hospitals
C
Comparator
Treatment at not-for-profit hospitals
O
Outcome
30-day nonelective readmission rateshard clinical
Main Result
Odds Ratio: 1.15
Treatment at for-profit hospitals for acute myocardial infarction is associated with higher 30-day unplanned readmission rates and increased complications compared to not-for-profit hospitals.
Cite This Study
Leung et al. (2026) conducted an observational in Acute myocardial infarction (n=4,636,970). For-profit hospital status vs. Not-for-profit hospitals was evaluated on 30-day nonelective readmission (AOR 1.15). For-profit hospital status was independently associated with greater odds of 30-day nonelective readmission (adjusted OR 1.15) following acute myocardial infarction.