30-day unplanned readmission rates and causes in patients hospitalised for acute coronary syndrome based on DANish CoMorbidity index for Acute Myocardial Infarction score.

IF 2.7 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Hellenic Journal of Cardiology Pub Date : 2025-02-03 DOI:10.1016/j.hjc.2025.01.006

Balamrit Singh Sokhal, Andrija Matetić, Michelle Marshall, Helen Twohig, Thomas Shepherd, Christian D Mallen, Mamas A Mamas

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引用次数: 0

Abstract

Objective: This study aimed to investigate the association of the DANish CoMorbidity Index for Acute Myocardial Infarction (DANCAMI) score with 30-day unplanned readmission rates and causes in patients with acute coronary syndrome (ACS).

Methods: Using the US National Readmission Database, all index hospitalisations with a principal diagnosis of ACS between October 2015 and December 2019 were stratified by their DANCAMI score using International Classification of Diseases-10th edition codes. Thirty-day unplanned readmission rates and causes were analysed, including the assessment of factors associated with readmission. Multivariable regression analyses were reported as adjusted odds ratios (aOR) with 95% confidence intervals (95% CI).

Results: Of 2,066,328 ACS admissions, 173,304 (8.4%) had a DANCAMI score of 0, 602,640 (29.2%) had a DANCAMI score of 1-3, 327,046 (15.8%) had a DANCAMI score of 4-5, and 963,338 (46.6%) had a DANCAMI score ≥6. 189,240 (9.2%) had an unplanned readmission within 30 days. Patients with a higher DANCAMI score were more likely to be older and have an index presentation of non-ST-elevation ACS. A DANCAMI score ≥6 (aOR 1.30 95% CI 1.27-1.34), age (aOR 1.01 95% CI 1.01-1.01), female sex (aOR 1.09 95% CI 1.08-1.10), index ST-elevation ACS (aOR 1.03 95% CI 1.01-1.04), and atrial fibrillation (aOR 1.35 95% CI 1.33-1.37) were independently associated with readmission (all p < 0.001). Higher scores were associated with an increasing likelihood of readmission for non-cardiovascular causes.

Conclusion: Increased DANCAMI score was associated with higher readmissions in patients with ACS. The DANCAMI score could be a valuable tool to assess risk.

查看原文本刊更多论文

基于丹麦急性心肌梗死合并症指数的急性冠脉综合征住院患者30天非计划再入院率及其原因

本研究旨在探讨丹麦急性心肌梗死合并症指数（DANCAMI）评分与急性冠脉综合征（ACS）患者30天非计划再入院率及其原因的关系。方法：使用美国国家再入院数据库，根据2015年10月至2019年12月期间主要诊断为ACS的所有指数住院患者的DANCAMI评分，使用国际疾病分类- 10个条件代码进行分层。分析30天非计划再入院率和原因，包括评估与再入院相关的因素。多变量回归分析报告为校正优势比（aOR）， 95%置信区间（95% CI）。结果：在2066328例ACS入院患者中，173304例（8.4%）患者的DANCAMI评分为0,602640例（29.2%）患者的DANCAMI评分为1-3,327046例（15.8%）患者的DANCAMI评分为4-5,963338例（46.6%）患者的DANCAMI评分≥6。30天内意外再入院189240例（9.2%）。DANCAMI评分较高的患者更有可能年龄较大，并有非st段抬高ACS的指标表现。DANCAMI评分≥6 （aOR 1.30 95% CI 1.27-1.34）、年龄（aOR 1.01 95% CI 1.01-1.01）、女性（aOR 1.09 95% CI 1.08-1.10）、st段抬高ACS指数（aOR 1.03 95% CI 1.01-1.04）和房颤（aOR 1.35 95% CI 1.33-1.37）与ACS患者再入院率独立相关（均为p）结论：DANCAMI评分升高与ACS患者再入院率升高相关。DANCAMI评分可能是评估风险的有价值的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hellenic Journal of Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.90

自引率

7.30%

发文量

审稿时长

56 days

期刊介绍： The Hellenic Journal of Cardiology (International Edition, ISSN 1109-9666) is the official journal of the Hellenic Society of Cardiology and aims to publish high-quality articles on all aspects of cardiovascular medicine. A primary goal is to publish in each issue a number of original articles related to clinical and basic research. Many of these will be accompanied by invited editorial comments. Hot topics, such as molecular cardiology, and innovative cardiac imaging and electrophysiological mapping techniques, will appear frequently in the journal in the form of invited expert articles or special reports. The Editorial Committee also attaches great importance to subjects related to continuing medical education, the implementation of guidelines and cost effectiveness in cardiology.