Demographic, clinical characteristics and medications of rehospitalized patients for acute coronary syndrome: boomerang study
Journal
International Journal of the Cardiovascular Academy
Date Issued
2021
Author(s)
Oz, TugbaKemaloglu
Kivrak, Tarik
Almaghraby, Abdallah
Abdelnabi, Mahmoud
Tasar, Onur
Uygur, Begum
Aksakal, Emrah
Paul, GobindaKanti
Sadri, SeyyadFarshad
Nikroo, Fatemeh
Musa, Yagoub
Kanar, Batur
Kaya, Hakki
Gerges, Fady
Cekici, Yusuf
Hashemi, Arash
Cuglan, Bilal
Bekar, Lutfu
Yenercag, Mustafa
Gitmez, Mesut
Akhundova, Aysel
Inci, Sinan
Yeni, Mehtap
Dogdus, Mustafa
Altinsoy, Meltem
Helal, Ayman
Shahbazova, Shafa
Tamnik, Fatih
Tiau, PatrickW J
Ersoy, Ibrahim
Bozdurman, Fadime
Zoghi, Mehdi
DOI
10.4103/ijca.ijca_60_20
Abstract
Background: Rehospitalizations with acute coronary syndromes (ACSs) have declined over the last years, but there is a remaining need for potential further reduction of rehospitalization after ACS to determine the most predominant predictors that can guide strategies to reduce re-hospitalizations burden. Aim: This multi-center study aimed to evaluate the demographic, clinical characteristics, and medications of rehospitalized patients who suffered a new cardiac event in 12 months after admission due to ACS. Material and Methods: Patients age >18 years who have been hospitalized between November 1 2017, and April 1 2018, for ACS within12 months before the readmission for a new acute coronary event were enrolled. Results: The present study included a total of 628 (65.9% from Turkey) consecutive patients rehospitalized with ACS (ST-elevation myocardial infarction [STEMI], 23.0%; ACS without ST-elevation [NSTE-ACS], 76.9%) from 15 different countries. The majority of the rehospitalized patients were men (67.9%), and the mean age was 63.1 ± 12.53 years. 406 (64.6%) had typical, 209 (33.2%) of patients had atypical chest pain and 13 (2.07%) had not any chest pain complaint during readmission. 304 (48.41%) of patients were discharged from hospital earlier than 3 days and 107 (17.04%) of patients stayed more than 7 days. The subcategories of first index diagnosis were 227 (36.1%) STEMI; 401 (63.8%) NSTE-ACS. The mean time from index discharge to rehospitalization was 189.25 ± 118 days. 248 (39.4%) patients were re-hospitalized more than once after index discharge. The most common risk factors were diabetes mellitus (471, 75.0%). 175 (27.87%) of patients stopped taking medication before re-hospitalization. Most of the patients (69.4%) had multivessel disease. Conclusion: Several factors identify patients at higher risk of rehospitalization with ACS. Understanding and preventing these causes can prevent rehospitalization and improve their outcome.