scholarly journals Factors affecting hospital readmission rates following an acute coronary syndrome: A systematic review

2021 ◽  
Author(s):  
Amineh Rashidi ◽  
Lisa Whitehead ◽  
Courtney Glass
Keyword(s):  
Systematic Review ◽  
Acute Coronary Syndrome ◽  
Hospital Readmission ◽  
Readmission Rates ◽  
Factors Affecting ◽  
Coronary Syndrome ◽  
Hospital Readmission Rates

scholarly journals Dementia and Hospital Readmission Rates: A Systematic Review

2017 ◽  
Vol 7 (3) ◽  
pp. 346-353 ◽  
Author(s):  
Sabrina Pickens ◽  
Aanand D. Naik ◽  
Angela Catic ◽  
Mark E. Kunik
Keyword(s):  
Systematic Review ◽  
Hospital Readmission ◽  
Patient Discharge ◽  
Community Dwelling ◽  
Case Control Studies ◽  
Readmission Rates ◽  
Absolute Increase ◽  
Hospital Readmission Rates ◽  
Increased Risk ◽  
Comparison Groups

Background: Although community-dwelling persons with dementia have an increased risk of hospital readmission, no systematic review has examined the contribution of dementia to readmissions. Summary: We examined articles in English, with no restrictions on publication dates, from Medline, PubMed, PsycINFO, CINAHL, and EMBASE. Keywords used were dementia, Alzheimer disease, frontotemporal lobar degeneration, elderly, frontotemporal dementia, executive function, brain atrophy, frontal lobe atrophy, cognitive impairment, readmission, readmit, rehospitalization, patient discharge, and return visit. Of 404 abstracts identified, 77 articles were retrieved; 12 were included. Four of 5 cohort studies showed significantly increased readmission rates in patients with dementia. On average the absolute increase above the comparison groups was from 3 to 13%. Dementia was not associated with readmission in 7 included case-control studies. Key Message: Findings suggest a small increased risk of hospital readmission in individuals with dementia. More study is needed.

scholarly journals Impact of age on the obesity paradox in acute coronary syndrome: a nationwide analysis

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
B Narasimhan ◽  
K Ho ◽  
L Wu ◽  
M Amreia ◽  
A Isath ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Hospital Mortality ◽  
Hospital Admissions ◽  
Obesity Paradox ◽  
Index Admission ◽  
Multivariate Logistic Regression Model ◽  
Obese Patients ◽  
Readmission Rates ◽  
Coronary Syndrome ◽  
Hospitalization Costs

Abstract Background The obesity paradox – indicating improved short term mortality in obese individuals has been widely explored in a number of cardiovascular conditions. However, its validity in an elderly population and the possible physiological impact of aging on this phenomenon in Acute Coronary syndrome (ACS) remain unclear. In this study, we aim to determine the relationship between obesity and in-hospital mortality, morbidity, and health care resource utilization in this cohort of patients. Methods A retrospective study was conducted using the AHRQ-HCUP National Inpatient Sample for the year 2014. Elderly adults (≥65 years) with a principal diagnosis of ACS and a secondary diagnosis of obesity were identified using ICD-9 diagnosis codes as described in the literature. The primary outcome of in-hospital mortality and secondary outcomes like length of hospital stay (LOS), and total hospitalization costs were analyzed. Propensity score (PS) using the next neighbor method without replacement with 1:1 matching was utilized to adjust for confounders. Independent risk factors for mortality were identified using a multivariate logistic regression model. Results In total, 1,137,108 hospital admissions with a primary diagnosis of ACS were identified, of which 7.46% were obese. In-hospital morality during the index admission was lower among obese patients with ACS compared to non-obese patients (4.62 vs 6.87%, p<0.001) with significantly lower 30-day readmission rates as well (p<0.001). However, in-hospital mortality rates during readmission were statistically equivalent between the obese and non-obese groups (5.6 vs 8.3%, p=0.72). LOS during the index admission was longer for obese patients (6.39 vs 5.36 days, p=0.65) but equivalent to non-obese patients during subsequent readmissions (p=0.12). The total cost of these admissions was significantly more in the obese cohort as well (p<0.001). Conclusion In this study, obese elderly patients admitted with ACS were found to have significantly reduced in-hospital mortality and 30-day readmission rates when compared to non-obese patients - reinforcing the obesity paradox independent of patient age. Funding Acknowledgement Type of funding source: None

scholarly journals The "smoker's paradox" in patients with acute coronary syndrome: a systematic review

BMC Medicine ◽  
2011 ◽  
Vol 9 (1) ◽  
Author(s):  
Erlend Aune ◽  
Jo Røislien ◽  
Mariann Mathisen ◽  
Dag S Thelle ◽  
Jan Erik Otterstad
Keyword(s):  
Systematic Review ◽  
Acute Coronary Syndrome ◽  
Coronary Syndrome
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