Analysis of Influencing Factors of Unplanned Readmission in Patients With Acute Coronary Syndrome Within 30 Days After PCI

Authors

  • YiKe Wang The Second Affiliated Hospital of Zhejiang University
  • Ya Wang Department of Cardiology, The First Hospital, 315000 Ningbo, People’s Republic of China
  • XiaoXu Han Department of Cardiology, The Second Affiliated Hospital of Zhejiang University, 310000 Hangzhou, People’s Republic of China
  • Han Zhang Department of Cardiology, The First Affiliated Hospital of Zhejiang University, 310000 Hangzhou, People’s Republic of China
  • JianPing Song Department of Cardiology, The Second Affiliated Hospital of Zhejiang University, 310000 Hangzhou, People’s Republic of China

DOI:

https://doi.org/10.1532/hsf.4411

Keywords:

Acute coronary syndrome, Percutaneous coronary intervention, Unplanned readmission, influence factor

Abstract

Objective: The purpose of this study is to identify the influencing factors of unplanned readmission in patients with the acute coronary syndrome (ACS) within 30 days after percutaneous coronary intervention (PCI).

Methods: From November 1, 2018, to October 31, 2019, the clinical data of 1277 patients with acute coronary syndrome and percutaneous coronary intervention retrospectively were collected. After screening by exclusion and rejection criteria, a total of 936 patients finally entered the study. Patients were divided into the readmission group (57 cases) and the non-readmission group (879 cases), according to whether unplanned readmission occurred within 30 days after PCI. To analyze the influence of patients' age, past disease history, medication history, laboratory data, vascular diseases, and other factors on readmission and the clinical characteristics of readmission patients.

Results: Fifty-seven patients had unplanned readmission within 30 days, and the readmission rate was 6.09%. The clinical features of readmission patients are older age, longer hospitalization days, more emergency percutaneous coronary intervention, more patients with diabetes history, and more patients diagnosed with ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction. Logistic regression analysis revealed that smoking index, number of diseased vessels, ACEF score, diabetes, and PCI status were the influencing factors of unplanned readmission of ACS patients within 30 days after PCI.

Conclusion: Smoking index, number of diseased vessels, ACEF score, diabetes, and PCI status are the influencing factors of unplanned readmission within 30 days after percutaneous coronary intervention for patients with acute coronary syndrome.

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Published

2022-04-25

How to Cite

Wang, Y., Wang, Y., Han, X., Zhang, H., & Song, J. (2022). Analysis of Influencing Factors of Unplanned Readmission in Patients With Acute Coronary Syndrome Within 30 Days After PCI. The Heart Surgery Forum, 25(2), E314-E319. https://doi.org/10.1532/hsf.4411

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Section

Articles