{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:48:06Z","timestamp":1762876086922,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"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":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Survival after percutaneous coronary intervention (PCI) in acute myocardial infarction complicated by cardiogenic shock (AMI\u2010CS) has increased over the years. Short\u2010term readmission rates in this high\u2010risk population remain unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We queried the United States (U.S.) Nationwide Readmission Database (NRD) from January 2010 to November 2014 using the International Classification of Diseases\u2010Ninth edition, Clinical Modification (ICD\u20109 CM) codes to identify all patients \u226518\u2009years readmitted within 30\u2009days after surviving an index hospitalization for PCI in AMI\u2010CS. Incidence, etiologies, and predictors of 30\u2010day readmission were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 46,435 patients who survived to discharge after PCI in AMI\u2010CS, 9,020 (19.4%) were readmitted within 30\u2009days. Median time to 30\u2010day readmission was 11\u2009days. Cardiac conditions were the most common causes of readmission (57.8%). Heart failure was the leading readmission diagnosis (24.8%). Private insurance including HMO and self\u2010pay were predictive of lower 30\u2010day readmission. Among other covariates, female sex, comorbidities such as heart failure, atrial fibrillation, in\u2010hospital complications such as major bleeding, sepsis, respiratory complications, AKI requiring dialysis, utilization of mechanical circulatory support (IABP and ECMO) were independently predictive of 30\u2010day readmission. Trend analysis showed decline in 30\u2010day readmission rates from 21.9% in 2010 to 17.9% in 2014 (<jats:italic>p<\/jats:italic><jats:sub>trend<\/jats:sub>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this large real\u2010world database, one in five patients receiving PCI in AMI\u2010CS was readmitted within 30\u2009days after discharge. Cardiac conditions were the most common causes of readmission. Insurance type had significant influence on 30\u2010day readmission.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28161","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T21:05:18Z","timestamp":1551301518000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Frequency of 30\u2010day readmission and its causes after percutaneous coronary intervention in acute myocardial infarction complicated by cardiogenic shock"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0151-1545","authenticated-orcid":false,"given":"Varunsiri","family":"Atti","sequence":"first","affiliation":[{"name":"Department of Medicine Michigan State University\u2010Sparrow Hospital  Lansing Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9574-8852","authenticated-orcid":false,"given":"Nileshkumar J.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5481-7601","authenticated-orcid":false,"given":"Varun","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases Mt Sinai St Luke's Roosevelt  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3025-7715","authenticated-orcid":false,"given":"Byomesh","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases Mt Sinai St Luke's Roosevelt  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3486-6753","authenticated-orcid":false,"given":"Mir B.","family":"Basir","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases Henry Ford Health System  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Voeltz","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases Henry Ford Health System  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usman","family":"Baber","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The Icahn School of Medicine at Mount Sinai  New York New York"}],"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":"Department of Cardiovascular Diseases The Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1888-0793","authenticated-orcid":false,"given":"Samin K.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The Icahn School of Medicine at Mount Sinai  New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William W.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases Henry Ford Health System  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1278-6245","authenticated-orcid":false,"given":"Deepak L.","family":"Bhatt","sequence":"additional","affiliation":[{"name":"Brigham and Women's Hospital Heart &amp; Vascular Center Harvard Medical School  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.010270"},{"key":"e_1_2_7_3_1","first-page":"50495","article-title":"Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long\u2010term care hospital prospective payment system and fiscal year 2014 rates; quality reporting requirements for specific providers; hospital conditions of participation; payment policies related to patient status. 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