{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:54:17Z","timestamp":1773298457851,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,2]],"date-time":"2018-10-02T00:00:00Z","timestamp":1538438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite improvements in acute care and survival after non\u2010ST\u2010elevation acute coronary syndrome (NSTE\u2010ACS) hospitalization, early readmissions remain common, and have significant clinical and financial impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Determine the predictors and etiologies of 30\u2010day readmissions in NSTE\u2010ACS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study cohort was derived from the National Readmission Database 2014 identifying patients with a primary diagnosis of NSTE\u2010ACS using ICD9 code.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified a total of 300,269 patients admitted with NSTE\u2010ACS; 13.4% were readmitted within 30\u2010day. The most common cause of readmission was heart failure (HF) (15.6%), followed by a recurrent myocardial infarction (MI) (10%). Predictors of increased readmissions were age \u2265 75 years (OR: 1.34, 95% CI: 1.30\u20131.39), female gender (OR 1.12, 95% CI 1.09\u20131.16), a Charlson Comorbidity Index (CCI) &gt;3 (OR 2.11, 95% CI: 2.04\u20132.18), ESRD (OR 2.01, 95% CI 1.89\u20132.14), CKD (OR: 1.58, 95% CI: 1.51\u20131.64), length of stay \u22655 days (OR: 1.51, 95% CI 1.46\u20131.56) and adverse events during the index admission such as AKI (OR:1.31, 95% CI: 1.25\u20131.36), major bleeding (OR:1.20, 95% CI: 1.12\u20131.24); whereas admission to a teaching hospital (OR 0.92, 95% CI 0.89\u20130.95) and PCI (OR 0.70, 95% CI 0.67\u20130.72) were associated with less likelihood of 30\u2010day readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Readmission rate at 30\u2010days is high among NSTE\u2010ACS patients and the most common readmission etiologies are HF and recurrent MI. A CCI more than 3 and ESRD were the most significant predictors for readmission; patients undergoing PCI had less odds of readmission.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27838","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T05:27:21Z","timestamp":1538544441000},"page":"373-379","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Predictors and etiologies of 30\u2010day readmissions in patients with non\u2010ST\u2010elevation acute coronary syndrome"],"prefix":"10.1002","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4649-8479","authenticated-orcid":false,"given":"Alejandro","family":"Lemor","sequence":"first","affiliation":[{"name":"Internal Medicine, Department of Medicine Icahn School of Medicine at Mount Sinai St Luke's\u2014Mount Sinai West Hospital  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel A.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7784-7582","authenticated-orcid":false,"given":"Nish","family":"Patel","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Blumer","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan","family":"Sud","sequence":"additional","affiliation":[{"name":"Internal Medicine, Department of Medicine Icahn School of Medicine at Mount Sinai St Luke's\u2014Mount Sinai West Hospital  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2038-6070","authenticated-orcid":false,"given":"Mauricio G.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"De Marchena","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7189-3307","authenticated-orcid":false,"given":"Annapoorna S.","family":"Kini","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samin K.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos E.","family":"Alfonso","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.125435"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.11.022"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1300122"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2016.07.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2016.10.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.06.33"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-1-201207030-00004"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.01.022"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2016.05.008"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.004569"},{"key":"e_1_2_8_14_1","first-page":"e344","article-title":"2014 AHA\/ACC guideline for the management of patients with non\u2013ST\u2010elevation acute coronary syndromes. 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