Evidence map›Paper›PMID 31271598›Full record

ArticleArquivos brasileiros de cardiologia2019

Readmission of Patients with Acute Coronary Syndrome and Determinants.

Larissa Marina Santana Mendonça de Oliveira, Ingrid Maria Novais Barros de Carvalho Costa, Danielle Góes da Silva, José Rodrigo Santos Santos Silva, José Augusto Soares Barreto-Filho, Marcos Antônio Almeida-Santos, Joselina Luzia Meneses Oliveira, Mirella Dornelas Batalha Moreira Buarque, Diva Aliete Dos Santos Vieira, Antônio Carlos Sobral Sousa

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In one paragraph

Article in Arquivos brasileiros de cardiologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Hospital Readmissions after Acute Coronary Syndromes.Arquivos brasileiros de cardiologia · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Larissa Marina Santana Mendonça de OliveiraUniversidade Federal de Sergipe - Departamento de Pós-Graduação em Ciências da Saúde, São Cristovão, SE - Brazil.ORCID 0000-0002-3471-6408
Ingrid Maria Novais Barros de Carvalho CostaUniversidade Federal de Sergipe - Departamento de Pós-Graduação em Ciências da Saúde, São Cristovão, SE - Brazil.
Danielle Góes da SilvaUniversidade Federal de Sergipe - Departamento de Nutrição, São Cristovão, SE - Brazil.
José Rodrigo Santos Santos SilvaUniversidade Federal de Sergipe - Departamento de Estatística, São Cristovão, SE - Brazil.ORCID 0000-0002-1918-7122
José Augusto Soares Barreto-FilhoUniversidade Federal de Sergipe - Departamento de Pós-Graduação em Ciências da Saúde, São Cristovão, SE - Brazil.
Marcos Antônio Almeida-SantosPrograma de Pós-graduação em Saúde e Ambiente da Universidade Tiradentes, Aracaju, SE - Brazil.
Joselina Luzia Meneses OliveiraUniversidade Federal de Sergipe - Departamento de Pós-Graduação em Ciências da Saúde, São Cristovão, SE - Brazil.
Mirella Dornelas Batalha Moreira BuarqueHospital do Coração, Aracaju, SE - Brazil.
Diva Aliete Dos Santos VieiraUniversidade Federal de Sergipe - Departamento de Nutrição, Lagarto, SE - Brazil.
Antônio Carlos Sobral SousaUniversidade Federal de Sergipe - Departamento de Pós-Graduação em Ciências da Saúde, São Cristovão, SE - Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute coronary syndrome (ACS) is responsible for high rates of hospital admission and readmission, which are associated with increased costs for the patient and the health system, and increased in-hospital mortality rates.

objectiveTo evaluate readmission in patients with ACS and its determinants.

methodsThis was a retrospective cohort study of adult and elderly patients with ACS, readmitted to public and private referral cardiology hospitals within one year after the first hospitalization for ACS. The occurrence of readmissions, the time elapsed from the first to the second admission, and the use of medications at admission were collected from the medical records. Associations between categorical variables were evaluated by the chi-square test or the Fisher's exact test. Multiple logistic regression was used to evaluate predictors for readmissions. A p < 0.05 was set as statistically significant.

resultsReadmission rate was 21.5% (n = 115) and mean time between admissions was 122.7 ± 112.1 days. The patients were mostly men (64.0%), mean age of 63.15 ± 12.3 years. Among readmitted patients, 7% had a prognosis of "death", and 68.7% were readmitted more than once within a one-year period. The main reasons of readmission were cardiovascular diseases including ACS. Private health care and the diagnosis of congestive heart failure were associated with multiple logistic regression.

conclusionACS was the main cause of readmission, with higher prevalence among users of supplemental health care. Readmissions were associated with previous diagnosis of congestive heart failure and the type of health care provided.

Indexed as

Acute Coronary SyndromeAgedFemaleHospital MortalityHumansLife StyleMaleMiddle AgedPatient ReadmissionPrognosisRetrospective StudiesRisk FactorsSocioeconomic Factors

Identifiers

PMID31271598
PMCPMC6684196

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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.