{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T13:44:09Z","timestamp":1776519849809,"version":"3.51.2"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T00:00:00Z","timestamp":1559606400000},"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":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recent trials have shown benefits with percutaneous coronary intervention (PCI) on nonculprit coronary vessels in select ST\u2010elevation myocardial infarction (STEMI) patients with multivessel coronary artery disease (CAD). However, readmission rates and causes in this high\u2010risk group are unknown. Objective of this study is to explore pattern, causes and factors associated with 30\u2010day readmission after multivessel PCI in STEMI patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Nationwide Readmissions Data (NRD) between 2010 and 2014 was utilized to identify multivessel PCI cases in STEMI patients using appropriate ICD\u20109 codes. We evaluated 30\u2010day readmission rate and factors associated with 30\u2010day readmission. Hierarchical logistic regression model was used to identify factors associated with 30\u2010day readmission. Among 22,257 STEMI patients who survived to discharge after multivessel PCI, 2,302 (10.3%) were readmitted within 30\u2010days. Subsequent unresolved\/aggravated cardiac issues most commonly triggered readmission (62.66%). Among cardiac causes, heart failure and ischemic heart disease were most frequent etiologies. Advancing age (OR: 1.073, 95%CI: 1.026 to 1.122, <jats:italic>p<\/jats:italic> = .002), female sex (OR: 1.36, 95%CI: 1.23 to 1.50, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), comorbid conditions like chronic kidney disease (CKD; OR: 1.35, 95%CI: 1.17 to 1.57, <jats:italic>p<\/jats:italic> = .001), congestive heart failure (CHF; OR: 1.40, 95%CI: 1.24 to 1.57, <jats:italic>p<\/jats:italic> = .04), anemia (OR: 1.16, 95%CI: 1.002 to 1.34, <jats:italic>p<\/jats:italic> = .04), and utilization of a mechanical circulatory support (MCS) device (OR: 1.45, 95%CI: 1.19 to 1.77, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) during the index procedure were predictive of subsequent readmission within 30\u2009days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this large nationally representative study, nearly one in 10 patients were readmitted within 30 days from discharge after index admission for multivessel PCI in STEMI, most commonly for cardiac causes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28344","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T04:05:17Z","timestamp":1559707517000},"page":"905-914","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Etiologies, trends, and predictors of readmission in ST\u2010elevation myocardial infarction patients undergoing multivessel percutaneous coronary intervention"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3025-7715","authenticated-orcid":false,"given":"Byomesh","family":"Tripathi","sequence":"first","affiliation":[{"name":"Division of Cardiology, Banner University Medical Center University of Arizona  Phoenix Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Yeh","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Smith Center for Outcomes Research in Cardiology Beth Israel Deaconess Medical Center  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6405-1606","authenticated-orcid":false,"given":"Chirag P.","family":"Bavishi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular Institute Warren Alpert Medical School at Brown University  Providence Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Partha","family":"Sardar","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular Institute Warren Alpert Medical School at Brown University  Providence Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0151-1545","authenticated-orcid":false,"given":"Varunsiri","family":"Atti","sequence":"additional","affiliation":[{"name":"Department of Medicine Michigan State University  East Lansing Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debabrata","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Texas Tech University Health Sciences Center  El Paso Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riyaz","family":"Bashir","sequence":"additional","affiliation":[{"name":"Division of Cardiology Temple University Hospital  Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2560-0155","authenticated-orcid":false,"given":"Jinnette Dawn","family":"Abbott","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular Institute Warren Alpert Medical School at Brown University  Providence Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Giri","sequence":"additional","affiliation":[{"name":"Cardiovascular Medicine Division Hospital of the University of Pennsylvania  Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1241-5030","authenticated-orcid":false,"given":"Saurav","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Hoffman Heart Institute, Saint Francis Hospital Teaching Affiliate of the University of Connecticut School of Medicine  Hartford Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCA.0b013e32832e5c4c"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq129"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)07349-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.09.018"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm184"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(90)90537-Y"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00566-X"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1305520"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60648-1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.038"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26325"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.117.005925"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.002472"},{"key":"e_1_2_9_15_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. Final rules","volume":"78","author":"Centers for M, Medicaid Services HHS","year":"2013","journal-title":"Fed Regist"},{"key":"e_1_2_9_16_1","unstructured":"Acute inpatient pps \u2010 readmissions reduction program.www.cms.gov\/medicare\/medicare\u2010fee\u2010for\u2010service\u2010payment\/acuteinpatientpps\/readmissions\u2010reduction\u2010program.html.2018. Last accessed Dec 04 2018."},{"key":"e_1_2_9_17_1","unstructured":"June2007report to the congress: promoting greater efficiency in medicare.Https:\/\/permanent.Access.Gpo.Gov\/lps106668\/lps106668\/www.Medpac.Gov\/documents\/jun07_entirereport.Pdf. Last accessed Dec 05 2018."},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2016.07.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.015351"},{"key":"e_1_2_9_20_1","unstructured":"HCUP.Health care and utilization project NRD data overview.https:\/\/www.hcup-us.ahrq.gov\/nrdoverview.jsp. Last accessed Dec 01 2018."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.13063\/2327-9214.1023"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2012.01440.x"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13311"},{"key":"e_1_2_9_24_1","unstructured":"HCUPHealthcare and utilization project NRD data description.https:\/\/www.hcup-us.ahrq.gov\/db\/nation\/nrd\/nrddbdocumentation.jsp. Last accessed Dec 01 2018."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200009283431303"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(91)90661-Z"},{"issue":"4","key":"e_1_2_9_28_1","first-page":"e362","article-title":"2013 accf\/aha guideline for the management of st\u2010elevation myocardial infarction: a report of the american college of cardiology foundation\/american heart association task force on practice guidelines","volume":"127","author":"O'Gara PT","year":"2013","journal-title":"Circulation"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.01.061"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2004.03.051"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2009.10.017"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25673"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.02.001"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.10.017"},{"key":"e_1_2_9_35_1","unstructured":"NCDR. National cardiovascular data registry pci readmission measure. 2013;2018."},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.005926"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22156"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.111.000093"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000988"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.967638"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.12.032"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0807611"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1701067"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.08.013"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-015-0674-9"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.03.044"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.114.001290"},{"key":"e_1_2_9_48_1","unstructured":"NIHFfr\u2010guidance for complete non\u2010culprit revascularization. Clinicaltrials.Gov. Available athttps:\/\/clinicaltrials.gov\/ct2\/show\/NCT02862119. Last accessed Dec 01 2018."},{"key":"e_1_2_9_49_1","unstructured":"NIHComplete vs culprit\u2010only revascularization to treat multi\u2010vessel disease after early pci for stemi. Clinicaltrials.Gov. Available athttps:\/\/clinicaltrials.gov\/ct2\/show\/NCT01740479. Last accessed Dec 01 2018."}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.28344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.28344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T14:10:20Z","timestamp":1693231820000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.28344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,4]]},"references-count":48,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1002\/ccd.28344"],"URL":"https:\/\/doi.org\/10.1002\/ccd.28344","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,4]]},"assertion":[{"value":"2019-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}