Evidence map›Paper›PMID 24425587›Full record

ArticleCirculation. Cardiovascular interventions2014

Causes of short-term readmission after percutaneous coronary intervention.

Jason H Wasfy, Jordan B Strom, Cashel O'Brien, Adrian H Zai, Jennifer Luttrell, Kevin F Kennedy, John A Spertus, Katya Zelevinsky, Sharon-Lise T Normand, Laura Mauri and 1 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Circulation. Cardiovascular interventions, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 67 citations in OpenAlex.

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  13. Cardiovascular Disease Prevention: The Role of Policy Interventions.Current treatment options in cardiovascular medicine · 2017
    Review
  14. Development and validation of a simple risk score to predict 30-day readmission after percutaneous coronary intervention in a cohort of medicare patients.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2017
    Article
  15. Article
  16. Living in the readmission era.Circulation. Cardiovascular interventions · 2014
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Jason H WasfyFrom the Cardiology Division (J.H.W., C.O'B., R.W.Y.), Department of Medicine (J.H.W., C.O'B., R.W.Y., J.B.S.), and Laboratory of Computer Science (A.H.Z., J.L.), Massachusetts General Hospital, Harvard Medical School, Boston; Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (K.F.K., J.A.S.); Department of Biostatistics, Harvard School of Public Health, Boston, MA (K.Z., S.-L.T.N.); Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (L.M.); and Harvard Clinical Research Institute, Boston, MA (L.M., R.W.Y.).
Jordan B Strom
Cashel O'Brien
Adrian H Zai
Jennifer Luttrell
Kevin F Kennedy
John A Spertus
Katya Zelevinsky
Sharon-Lise T Normand
Laura Mauri
Robert W Yeh
Saint Luke's Hospital · USHarvard University · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRehospitalization within 30 days after an admission for percutaneous coronary intervention (PCI) is common, costly, and a future target for Medicare penalties. Causes of readmission after PCI are largely unknown. METHODS AND

resultsTo illuminate the causes of PCI readmissions, patients with PCI readmitted within 30 days of discharge between 2007 and 2011 at 2 hospitals were identified, and their medical records were reviewed. Of 9288 PCIs, 9081 (97.8%) were alive at the end of the index hospitalization. Of these, 893 patients (9.8%) were readmitted within 30 days of discharge and included in the analysis. Among readmitted patients, 341 patients (38.1%) were readmitted for evaluation of recurrent chest pain or other symptoms concerning for angina, whereas 59 patients (6.6%) were readmitted for staged PCI without new symptoms. Complications of PCI accounted for 60 readmissions (6.7%). For cases in which chest pain or other symptoms concerning for angina prompted the readmission, 21 patients (6.2%) met criteria for myocardial infarction, and repeat PCI was performed in 54 patients (15.8%). The majority of chest pain patients (288; 84.4%) underwent ≥1 diagnostic imaging test, most commonly coronary angiography, and only 9 (2.6%) underwent target lesion revascularization.

conclusionsAfter PCI, readmissions within 30 days were seldom related to PCI complications but often for recurrent chest pain. Readmissions with recurrent chest pain infrequently met criteria for myocardial infarction but were associated with high rates of diagnostic testing.

Indexed as

Root Cause AnalysisAgedAged, 80 and overChest PainCoronary AngiographyCoronary Artery DiseaseFemaleHumansMaleMedicareMiddle AgedMyocardial InfarctionMyocardial RevascularizationOutcome Assessment, Health CarePatient ReadmissionPercutaneous Coronary Interventionoutcome assessment (health care)patient readmissionpercutaneous coronary intervention

Identifiers

PMID24425587
OpenAlexW1975873176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.