Abstract
It is unclear how age affects rates and causes of unplanned early readmissions following percutaneous coronary intervention (PCI). We analyzed patients in the Nationwide Readmission Database in the United States between 2010 and 2014 and examine the impact of age on readmissions after PCI. The primary outcomes were age specific 30-day rates and causes of unplanned readmissions. A total of 2,294,345 procedures were analyzed with a 9.6% unplanned readmission rate within 30 days. Unplanned readmissions were 8.1%, 8.1%, 9.5% and 12.6% for age groups <55, 55-64.9, 65-74.9 and ≥75 years, respectively. With increasing
age there was an increase in the rate of non-cardiac causes for readmissions (for ages <55, 55-64.9 and ≥75 years, rates were 54.1%, 54.8%, 56.6% and 57.1% respectively p<0.001). Older age was associated with an increased prevalence of infections (13.9% ≥75 years vs 7.7% <55 years), gastrointestinal disease (11.5% ≥75 years vs 9.5% <55 years) and bleeding (7.4% ≥75 years vs 2.9% <55 years) as causes for non-cardiac readmissions and a reduced prevalence of non-specific chest pain (9.9% ≥75 years vs 31.4% <55 years). For cardiac causes, older age was associated with increased prevalence for readmissions due to heart failure (34.6% ≥75 years vs 11.9% <55 years) but a reduced prevalence of
coronary artery disease including angina (25.7% ≥75 years vs 51.3% <55 years). In conclusion, older patients have the highest rates of unplanned 30-day readmissions following PCI, with different causes for readmission compared to younger patients. Interventions designed to reduce readmissions after PCI should be age-specific.
Original language | English |
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Pages (from-to) | 220-228 |
Number of pages | 9 |
Journal | The American Journal of Cardiology |
Volume | 122 |
Issue number | 2 |
Early online date | 12 Apr 2018 |
DOIs | |
Publication status | Published - 15 Jul 2018 |
Bibliographical note
Acknowledgements: We are grateful to the Healthcare Cost and Utilization Project (HCUP) and the HCUP Data Partners for providing the data used in the analysis.List of Supports/Grants Information: The study was supported by a grant from the
Research and Development Department at the Royal Stoke Hospital. This work is conducted as a part of PhD for CSK which is supported by Biosensors International.
Keywords
- age
- percutaneous coronary intervention
- readmissions
- Outcomes