Review of early hospitalisation after percutaneous coronary intervention
Chun Shing Kwok1, William Hulme2, Ivan Olier3
1Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK; University Hospital North Staffordshire, Stoke-on-Trent, UK; University of Manchester, Manchester, UK.
Insights
Readmissions after percutaneous coronary intervention (PCI) are common, with most occurring within 30 days due to cardiac issues. Identifying predictors may help reduce these readmissions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Health Services Research
Background:
- Percutaneous coronary intervention (PCI) is a primary revascularization method for coronary artery disease.
- Understanding PCI readmission rates is crucial for quality assessment and reducing patient/healthcare burdens.
Purpose of the Study:
- To review and synthesize data on readmission rates and reasons following PCI.
- To identify predictors associated with readmission after PCI.
Main Methods:
- A comprehensive literature review was conducted.
- Relevant studies were analyzed using narrative synthesis and summarized in tables.
Main Results:
- 30-day readmission rates after PCI range from 4.7% to 15.6%, varying by cohort and healthcare system.
- Cardiac disorders and complications are the primary causes of readmission within 30 days.
- Predictors of readmission include female sex, peripheral vascular disease, diabetes, renal failure, and non-elective PCI.
Conclusions:
- Readmission post-PCI is frequent, with cardiac causes predominating within 30 days.
- Numerous predictors for readmission exist, but the effectiveness of targeting modifiable predictors remains unknown.
Background:
Percutaneous coronary intervention (PCI) is the most common modality of revascularization in patients with coronary artery disease. Understanding the readmission rates and reasons for readmission after PCI is important because readmissions are a quality of care indicator, in addition to being a burden to patients and healthcare services.
Methods:
A literature review was performed. Relevant studies are described by narrative synthesis with the use of tables to summarize study results.
Results:
Data suggests that 30-day readmissions are not uncommon. The rate of readmission after PCI is highly influenced by the cohort and the healthcare system studied, with 30-day readmission rates reported to be between 4.7-% and 15.6%. Studies consistently report that a majority of readmissions within 30days are due to a cardiac-related disorders or complication-related disorders. Female sex, peripheral vascular disease, diabetes mellitus, renal failure and non-elective PCI are predictive of readmission. Studies also suggest that there is greater risk of mortality among patients who are readmitted compared to those who are not readmitted.
Conclusion:
Readmission after PCI is common and its rate is highly influenced by the type of cohort studied. There is clear evidence that majority of readmissions within 30days are cardiac related. While there are many predictors of readmission following PCI, it is not known whether targeting patients with modifiable predictors could prevent or reduce the rates of readmission.
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