ArticleClinical cardiology2018
Etiologies, predictors, and economic impact of readmission within 1 month among patients with takotsubo cardiomyopathy.
Article in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Heart rate variability alterations in takotsubo syndrome and related association with psychological factors: a systematic review and meta-analysis.Scientific reports · 2023Pooled it
- Pooled it
- Reverse Takotsubo cardiomyopathy in the setting of small bowel obstruction: a case report.Annals of medicine and surgery (2012) · 2024Article
- Role of serum cytokines in the prediction of heart failure in patients with coronary artery disease.ESC heart failure · 2023Article
- Relationship between Cardiovascular Risk Factors and Composite Cardiovascular Outcomes in Patients Hospitalized with Takotsubo Syndrome: A Nationwide Analysis.Medical sciences (Basel, Switzerland) · 2023Article
- Mortality of patients with ST-segment-elevation myocardial infarction without standard modifiable risk factors among patients without known coronary artery disease: Age-stratified and sex-related analysis from nationwide readmissions database 2010-2014.American journal of preventive cardiology · 2023Article
- "Obesity paradox" and takotsubo syndrome.International journal of cardiology. Cardiovascular risk and prevention · 2022Review
- Pathophysiology of stress cardiomyopathy: A comprehensive literature review.Annals of medicine and surgery (2012) · 2022Review
- Thirty-Day Readmission Rates after Takotsubo Syndrome with or without Malignancy: A Nationwide Readmissions Database Analysis.Journal of clinical medicine · 2021Article
- Conventional cardiovascular risk factors associated with Takotsubo cardiomyopathy: A comprehensive review.Clinical cardiology · 2021Review
- Observational
- Insular cortex lesions are not the only culprit in Takotsubo syndrome.Clinical cardiology · 2018Article
- Reply to "Low prevalence of diabetes with chronic complications in patients with Takotsubo syndrome".Clinical cardiology · 2018Article
- Does obesity affect the outcomes in takotsubo cardiomyopathy? Analysis of the Nationwide Inpatient Sample database, 2010-2014.Clinical cardiology · 2018Article
- Etiologies, predictors, and economic impact of readmission within 1 month among patients with takotsubo cardiomyopathy.Clinical cardiology · 2018Article
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Authors and funding
8 authors.
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Abstract
backgroundLimited data exist on readmission among patients with takotsubo cardiomyopathy (TC), a commonly reversible cause of heart failure. HYPOTHESIS: We sought to identify etiologies and predictors for readmission among TC patients.
methodsWe queried the National Readmissions Database for 2013-2014 to identify patients with primary admission for TC using ICD-9-CM code 429.83. Patients readmitted to hospital within 1 month after discharge were further evaluated to identify etiologies, predictors, and resultant economic burden of readmission. Additionally, we analyzed readmission for TC at 6 months.
resultsWe studied 5997 patients admitted with TC, of whom 1.2% experienced in-hospital mortality. Median age was 67 years, with 91.5% being female. Among survivors, 10.3% were readmitted within 1 month; 25% of the initial 1-month readmissions occurred within 4 days, 50% within 10 days, and 75% within 20 days from discharge. The most common etiologies for readmission were cardiac (26%), respiratory (16%), and gastrointestinal (11%) causes. Heart failure was the most common cardiac etiology. Significant predictors of increased 1-month readmission included systemic thromboembolic events, length of stay ≥3 days, and underlying psychoses. Obesity and private insurance predicted lower 1-month readmission. The annual national cost impact for index admission and 1-month readmissions was ≈$112 million. Recurrent TC was seen among 1.9% of patients readmitted within 6 months.
conclusionsThough the overall rate of 1-month readmission following TC is low, associated economic burden from readmission is still significant. Patients are readmitted mostly for noncardiac causes. Readmission for another episode of TC within 6 months was uncommon.
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