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dc.contributor.authorTisminetzky, Mayra
dc.contributor.authorMehawej, Jordy
dc.contributor.authorMiozzo, Ruben
dc.contributor.authorGurwitz, Jerry H.
dc.contributor.authorGore, Joel M.
dc.contributor.authorLessard, Darleen M.
dc.contributor.authorAbu, Hawa Ozien
dc.contributor.authorBamgbade, Benita A.
dc.contributor.authorYarzebski, Jorge
dc.contributor.authorGranillo, Edgard A.
dc.contributor.authorGoldberg, Robert J.
dc.date2022-08-11T08:10:36.000
dc.date.accessioned2022-08-23T17:14:19Z
dc.date.available2022-08-23T17:14:19Z
dc.date.issued2021-09-01
dc.date.submitted2021-09-23
dc.identifier.citation<p>Tisminetzky M, Mehawej J, Miozzo R, Gurwitz JH, Gore JM, Lessard D, Abu HO, Bamgbade BA, Yarzebski J, Granillo E, Goldberg RJ. Temporal Trends and Patient Characteristics Associated with 30-Day Hospital Readmission Rates after a First Acute Myocardial Infarction. Am J Med. 2021 Sep;134(9):1127-1134. doi: 10.1016/j.amjmed.2021.03.024. Epub 2021 Apr 20. PMID: 33864760; PMCID: PMC8410623. <a href="https://doi.org/10.1016/j.amjmed.2021.03.024">Link to article on publisher's site</a></p>
dc.identifier.issn0002-9343 (Linking)
dc.identifier.doi10.1016/j.amjmed.2021.03.024
dc.identifier.pmid33864760
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46929
dc.description.abstractBACKGROUND: Limited data exist about relatively recent trends in the magnitude and characteristics of patients who are re-hospitalized after hospital admission for an acute myocardial infarction. This study examined trends in the frequency and sociodemographic and clinical characteristics of patients readmitted to the hospital within 30 days after an initial acute myocardial infarction. METHODS: We reviewed the medical records of 3116 individuals who were hospitalized for a validated first acute myocardial infarction in 6 study periods between 2003 and 2015 at the 3 major medical centers in central Massachusetts. RESULTS: The median age of our population was 67 years, and 42% were women. The risk of being readmitted to the hospital within 30 days after an initial acute myocardial infarction increased slightly during the most recent study years after controlling for potentially confounding factors. Overall, older adults and patients with previously diagnosed atrial fibrillation, heart failure, diabetes, chronic kidney disease, stroke, and peripheral vascular disease were at higher risk for being readmitted to the hospital than respective comparison groups. For those hospitalized in the most recent study years of 2011/2015, a higher risk of rehospitalization was associated with a previous diagnosis of chronic kidney disease, peripheral vascular disease, the presence of 3 or more chronic conditions, and having developed atrial fibrillation or heart failure during the patient's hospitalization for a first acute myocardial infarction. CONCLUSIONS: We identified several groups at higher risk for hospital readmission in whom enhanced surveillance efforts as well as tailored educational and treatment approaches remain needed.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=33864760&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1016/j.amjmed.2021.03.024
dc.subjectAcute myocardial infarction
dc.subjectHospital readmissions
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.subjectEpidemiology
dc.titleTemporal Trends and Patient Characteristics Associated with 30-Day Hospital Readmission Rates after a First Acute Myocardial Infarction
dc.typeJournal Article
dc.source.journaltitleThe American journal of medicine
dc.source.volume134
dc.source.issue9
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1409
dc.identifier.contextkey25084005
html.description.abstract<p>BACKGROUND: Limited data exist about relatively recent trends in the magnitude and characteristics of patients who are re-hospitalized after hospital admission for an acute myocardial infarction. This study examined trends in the frequency and sociodemographic and clinical characteristics of patients readmitted to the hospital within 30 days after an initial acute myocardial infarction.</p> <p>METHODS: We reviewed the medical records of 3116 individuals who were hospitalized for a validated first acute myocardial infarction in 6 study periods between 2003 and 2015 at the 3 major medical centers in central Massachusetts.</p> <p>RESULTS: The median age of our population was 67 years, and 42% were women. The risk of being readmitted to the hospital within 30 days after an initial acute myocardial infarction increased slightly during the most recent study years after controlling for potentially confounding factors. Overall, older adults and patients with previously diagnosed atrial fibrillation, heart failure, diabetes, chronic kidney disease, stroke, and peripheral vascular disease were at higher risk for being readmitted to the hospital than respective comparison groups. For those hospitalized in the most recent study years of 2011/2015, a higher risk of rehospitalization was associated with a previous diagnosis of chronic kidney disease, peripheral vascular disease, the presence of 3 or more chronic conditions, and having developed atrial fibrillation or heart failure during the patient's hospitalization for a first acute myocardial infarction.</p> <p>CONCLUSIONS: We identified several groups at higher risk for hospital readmission in whom enhanced surveillance efforts as well as tailored educational and treatment approaches remain needed.</p>
dc.identifier.submissionpathqhs_pp/1409
dc.contributor.departmentDivision of Cardiovascular Medicine, Department of Medicine
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.contributor.departmentDivision of Geriatric Medicine, Department of Medicine
dc.contributor.departmentMeyers Primary Care Institute
dc.source.pages1127-1134


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