Evidence map›Paper›PMID 31537135›Full record

ArticleJournal of the American Heart Association2019

Readmissions After Acute Myocardial Infarction: How Often Do Patients Return to the Discharging Hospital?

Jennifer A Rymer, Anita Y Chen, Laine Thomas, Gregg C Fonarow, Eric D Peterson, Tracy Y Wang

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

6 authors.

Jennifer A RymerDepartment of Medicine Duke University Medical Center Durham NC.
Anita Y ChenDivision of Cardiology Duke Clinical Research Institute Durham NC.
Laine ThomasDivision of Cardiology Duke Clinical Research Institute Durham NC.
Gregg C FonarowDivision of Cardiology Ronald Reagan-UCLA Medical Center Los Angeles CA.
Eric D PetersonDepartment of Medicine Duke University Medical Center Durham NC.
Tracy Y WangDepartment of Medicine Duke University Medical Center Durham NC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background When patients require readmission after a recent myocardial infarction (MI), returning to the discharging (index) hospital may be associated with better outcomes as a result of greater continuity in care. However, little evidence exists to answer this frequent patient question. Methods and Results Among Medicare patients aged ≥65 years discharged home alive post-MI from 491 US hospitals in the ACTION (Acute Coronary Treatment Intervention Outcomes Network) Registry, we compared reason for readmission, duration of rehospitalization, and 30-day mortality between patients readmitted to the index versus nonindex hospital within 30 days of index MI discharge. Among 53 471 MI patients, 7715 (14%) were readmitted within 30 days, and most readmitted patients (73%) returned to the discharging hospital. Reason for readmission was not significantly associated with location of readmission. In multivariable modeling, the strongest factors associated with readmission to a nonindex hospital were distance from the discharging hospital, transfer-in during the index MI hospitalization, and frequency of nonindex hospital admissions in the year preceding to the index MI. Duration of rehospitalization did not differ significantly between patients readmitted to the index versus nonindex hospital (median, 4 versus 3 days;

Indexed as

Continuity of Patient CarePatient DischargePatient ReadmissionAgedAged, 80 and overCatchment Area, HealthCause of DeathFemaleHumansLength of StayMaleMedicareMyocardial InfarctionPatient TransferPrognosisRegistrieslength of staymortalitymyocardial infarctionreadmission

Identifiers

PMID31537135
PMCPMC6806031

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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.