Evidence map›Paper›PMID 30371187›Full record

ArticleJournal of the American Heart Association2018

Thirty-Day Readmission Rates, Timing, Causes, and Costs after ST-Segment-Elevation Myocardial Infarction in the United States: A National Readmission Database Analysis 2010-2014.

Luke K Kim, Ilhwan Yeo, Jim W Cheung, Rajesh V Swaminathan, S Chiu Wong, Konstantinos Charitakis, Oluwayemisi Adejumo, John Chae, Robert M Minutello, Geoffrey Bergman and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Luke K Kim1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Ilhwan Yeo2 Department of Medicine Icahn School of Medicine at Mount Sinai New York NY.
Jim W Cheung1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Rajesh V Swaminathan3 Duke Clinical Research Institute Duke University Medical Center Durham NC.
S Chiu Wong1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Konstantinos Charitakis4 Department of Cardiology McGovern Medical School University of Texas Health Science Center Houston TX.
Oluwayemisi Adejumo1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
John Chae5 Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Robert M Minutello1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Geoffrey Bergman1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Harsimran Singh1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Dmitriy N Feldman1 Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY.
Cornell University · USPresbyterian Hospital · USNewYork–Presbyterian Hospital · USDuke Medical Center · USIcahn School of Medicine at Mount Sinai · USNew York Hospital Queens · USThe University of Texas Health Science Center at Houston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Readmission after ST-segment-elevation myocardial infarction ( STEMI ) poses an enormous economic burden to the US healthcare system. Efforts to prevent readmissions should be based on understanding the timing and causes of these readmissions. This study aimed to investigate contemporary causes, timing, and cost of 30-day readmissions after STEMI . Methods and Results All STEMI hospitalizations were selected in the Nationwide Readmissions Database ( NRD ) from 2010 to 2014. The 30-day readmission rate as well as the primary cause and cost of readmission were examined. Multivariate regression analysis was performed to identify the predictors of 30-day readmission and increased cumulative cost. From 2010 to 2014, the 30-day readmission rate after STEMI was 12.3%. Within 7 days of discharge, 43.9% were readmitted, and 67.3% were readmitted within 14 days. The annual rate of 30-day readmission decreased by 19% from 2010 to 2014 ( P<0.001). Female sex, AIDS , anemia, chronic kidney disease , collagen vascular disease, diabetes mellitus, hypertension, pulmonary hypertension, congestive heart failure , atrial fibrillation, and increased length of stay were independent predictors of 30-day readmission. A large proportion of patients (41.6%) were readmitted for noncardiac reasons. After multivariate adjustment, 30-day readmission was associated with a 47.9% increase in cumulative cost ( P<0.001). Conclusions Two thirds of patients were readmitted within the first 14 days after STEMI , and a large proportion of patients were readmitted for noncardiac reasons. Thirty-day readmission was associated with an ≈50% increase in cumulative hospitalization costs. These findings highlight the importance of closer surveillance of both cardiac and general medical conditions in the first several weeks after STEMI discharge.

Indexed as

Hospital CostsAgedDatabases, FactualFemaleFollow-Up StudiesHumansLength of StayMaleMedicareMiddle AgedPatient ReadmissionRetrospective StudiesRisk FactorsST Elevation Myocardial InfarctionTime FactorsUnited StatescausescostreadmissionST‐segment elevation myocardial infarction

Identifiers

PMID30371187
PMCPMC6222940
OpenAlexW2889997935

What OpenQuestion holds

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LicenceCC BY-NC
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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.