Evidence map›Paper›PMID 42721603›Full record

ArticleJACC. Advances2026

Hospital Financial Structure and Unplanned Rehospitalization Following Acute Myocardial Infarction in the United States.

Preston Leung, Jaden Rahmani, Owen Lai, Giselle Porter, Isabella Chilian, Radoslav Zinoviev, Peyman Benharash

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Article in JACC. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Preston LeungCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Jaden RahmaniCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Owen LaiCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Giselle PorterCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Isabella ChilianCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Radoslav ZinovievDepartment of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Peyman BenharashCenter for Advanced Surgical and Interventional Technology, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA; Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. Electronic address: Pbenharash@mednet.ucla.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute myocardial infarction (AMI) affects ∼805,000 individuals in the United States annually and remains a leading cause of rehospitalization. The Hospital Readmissions Reduction Program established 30-day readmissions as a quality benchmark for AMI care. Although for-profit hospitals have shown higher readmission rates than not-for-profit counterparts, ownership-related trends in readmissions and outcomes following AMI remain poorly characterized.

objectivesWe examined 30-day nonelective readmission rates and clinical outcomes in readmitted AMI patients stratified by hospital ownership from 2013 to 2022.

methodsAdult nonelective AMI hospitalizations were identified from the 2013 to 2022 Nationwide Readmissions Database and stratified by hospital ownership. Temporal trends were assessed with Cuzick nonparametric test. Among readmitted patients, outcomes were compared using doubly robust methodology.

resultsOf the 4,636,970 AMI admissions, 534,576 (11.5%) had an unplanned 30-day readmission. Of the 399,800 patients readmitted to the index hospital, 66,394 (16.6%) were treated at for-profit facilities. Over the study period, readmission rates declined at not-for-profit hospitals (11.5% to 10.5%; P < 0.001) but remained stable at for-profit hospitals (13.0% to 12.7%; P = 0.09). Rate reductions at for-profit hospitals were limited to Medicare beneficiaries and coronary artery bypass grafting patients. Following risk adjustment, for-profit status was independently associated with greater odds of 30-day nonelective readmission (adjusted OR [AOR]: 1.15), respiratory (AOR 1.11) and renal complications (AOR 1.04) at readmission, and nonhome discharge (AOR: 1.07).

conclusionsFor-profit status was associated with higher 30-day nonelective readmission rates and greater odds of renal and respiratory complications at readmission and nonhome discharge. These findings may inform policies addressing ownership-related disparities in AMI care.

Indexed as

acute myocardial infarctionhealth disparitieshospital ownershipHospital Readmissions Reduction Programoutcomesrehospitalization

Identifiers

PMID42721603
PMCPMC13586794

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