Evidence map›Paper›PMID 30042466›Full record

ArticleScientific reports2018

Effect of Comorbidity On Unplanned Readmissions After Percutaneous Coronary Intervention (From The Nationwide Readmission Database).

Chun Shing Kwok, Sara C Martinez, Samir Pancholy, Waqar Ahmed, Khaled Al-Shaibi, Jessica Potts, Mohamed Mohamed, Evangelos Kontopantelis, Nick Curzen, Mamas A Mamas

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Rotational atherectomy combined with cutting balloon to optimise stent expansion in calcified lesions: the ROTA-CUT randomised trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Trial
  2. Observational
  3. Article
  4. Observational
  5. Calcified coronary lesions.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Acute Coronary Syndrome in the Older Patient.Journal of clinical medicine · 2021
    Review
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Contemporary utilization patterns and outcomes of thrombolytic administration for ischemic stroke among patients with cancer.International journal of stroke : official journal of the International Stroke Society · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chun Shing KwokKeele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK. shingkwok@doctors.org.uk.ORCID 0000-0001-7047-1586
Sara C MartinezDivision of Cardiology, Providence St. Peter Hospital, Olympia, Washington, USA.
Samir PancholyThe Wright Center for Graduate Medical Education, The Commonwealth Medical College, Scranton, PA, USA.
Waqar AhmedDepartment of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
Khaled Al-ShaibiDepartment of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
Jessica PottsKeele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK.
Mohamed MohamedKeele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK.ORCID 0000-0002-9678-5222
Evangelos KontopantelisUniversity of Manchester, Manchester, UK.ORCID 0000-0001-6450-5815
Nick CurzenUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Mamas A MamasKeele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK.

Funding

Medical Research Council MR/K006665/1
6 · The paper itself

Abstract

It is unclear how comorbidity influences rates and causes of unplanned readmissions following percutaneous coronary intervention (PCI). We analyzed patients in the Nationwide Readmission Database who were admitted to hospital between 2010 and 2014. The comorbidity burden as defined by the Charlson Comorbidity Index (CCI). Primary outcomes were 30-day readmission rates and causes of readmission according to comorbidity burden. A total of 2,294,346 PCI procedures were included the analysis. The patients in CCI = 0, 1, 2 and ≥3 were 842,272(36.7%), 701,476(30.6%), 347,537(15.1%) and 403,061(17.6%), respectively. 219,227(9.6%) had an unplanned readmission within 30 days and rates by CCI group were 6.6%, 8.6%, 11.4% and 15.9% for CCI groups 0, 1, 2 and ≥3, respectively. The CCI score was also associated with greater cost (cost of index PCI for not readmitted vs readmitted was CCI = 0 $21,257 vs $19,764 and CCI ≥ 3 $26,736 vs $27,723). Compared to patients with CCI = 0, greater CCI score was associated with greater independent odds of readmission (CCI = 1 OR 1.25(1.22-1.28), p < 0.001, CCI ≥ 3 OR 2.08(2.03-2.14), p < 0.001). Rates of non-cardiac causes for readmissions increased with increasing CCI group from 49.4% in CCI = 0 to 57.1% in CCI ≥ 3. Rates of early unplanned readmission increase with greater comorbidity burden and non-cardiac readmissions are higher among more comorbid patients.

Indexed as

AgedAged, 80 and overAnalysis of VarianceChest PainChi-Square DistributionComorbidityCoronary Artery DiseaseDatabases, FactualFemaleFollow-Up StudiesGastrointestinal DiseasesHospitalizationHumansLength of StayLogistic ModelsMale

Identifiers

PMID30042466
PMCPMC6057975

What OpenQuestion holds

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Registered trials

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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.