Evidence map›Paper›PMID 29246918›Full record

ArticleCirculation. Cardiovascular interventions2017

Thirty-Day Readmission Rate and Costs After Percutaneous Coronary Intervention in the United States: A National Readmission Database Analysis.

Avnish Tripathi, J Dawn Abbott, Gregg C Fonarow, Abdur R Khan, Neil G Barry, Sohail Ikram, Rita Coram, Verghese Mathew, Ajay J Kirtane, Brahmajee K Nallamothu and 2 more

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Article in Circulation. Cardiovascular interventions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Avnish TripathiFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
J Dawn AbbottFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Gregg C FonarowFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Abdur R KhanFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Neil G BarryFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Sohail IkramFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Rita CoramFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Verghese MathewFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Ajay J KirtaneFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Brahmajee K NallamothuFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Glenn A HirschFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.).
Deepak L BhattFrom the Division of Cardiology, University of Louisville Medical School, KY (A.T., A.R.K., N.G.B., S.I., R.C., G.A.H.); Division of Cardiology, Warren Alpert Medical School, Brown University, Providence, RI (J.D.A.); Division of Cardiology, David Geffen School of Medicine, UCLA, Los Angeles, CA (G.C.F.); Division of Cardiology, Stritch School of Medicine, Loyola University, Chicago, IL (V.M.); Division of Cardiology, Columbia University Medical Center/NewYork-Presbyterian Hospital (A.J.K.); Department of Internal Medicine, University of Michigan, Ann Arbor (B.K.N.); and Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA (D.L.B.). dlbhattmd@post.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association of short-term readmissions after percutaneous coronary intervention (PCI) on healthcare costs has not been well studied. METHODS AND

resultsThe Healthcare Cost and Utilization Project National Readmission Database encompassing 722 US hospitals was used to identify index PCI cases in patients ≥18 years old. Hierarchical regression analyses were used to examine the factors associated with risk of 30-day readmission and higher cumulative costs. We evaluated 206 869 hospitalized patients who survived to discharge after PCI from January through November 2013 and analyzed readmissions over 30 days after discharge. A total of 24 889 patients (12%) were readmitted within 30 days, with rates ranging from 6% to 17% across hospitals. Among the readmitted patients, 13% had PCI, 2% had coronary artery bypass surgery, and 3% died during the readmission. The most common reasons for readmission included nonspecific chest pain/angina (24%) and heart failure (11%). Mean cumulative costs were higher for those with readmissions ($39 634 versus $22 058;

conclusionsIn a national sample of inpatient PCI cases, 30-day readmissions were associated with a significant increase in cumulative costs. The majority of readmissions were because of low-risk chest pain that did not require any intervention. Ongoing effort is warranted to recognize and mitigate potentially preventable post-PCI readmissions.

Indexed as

Hospital CostsAdolescentAdultAgedAngina PectorisChi-Square DistributionCoronary DiseaseDatabases, FactualFemaleHospital MortalityHumansLinear ModelsLogistic ModelsMaleMedicareMiddle Agedchest paincoronary artery bypassheart failureinpatientspercutaneous coronary intervention

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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.