{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T02:56:19Z","timestamp":1792551379619,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2015,1,30]]},"abstract":"\n Background<\/jats:title>\n \n Rehospitalizations for acute coronary syndromes (\n ACS<\/jats:styled-content>\n ) and coronary revascularization after an acute myocardial infarction (\n AMI<\/jats:styled-content>\n ) are not only common and costly but can also impact patients\u2019 quality of life. In contrast to mortality and all\u2010cause readmissions, little insight is available into risk factors associated with\n ACS<\/jats:styled-content>\n and revascularization after\n AMI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n In a multicenter\n AMI<\/jats:styled-content>\n registry, we examined the rates and predictors of rehospitalizations for\n ACS<\/jats:styled-content>\n and revascularization within the year after\n AMI<\/jats:styled-content>\n among 3283 patients. Staged revascularization procedures were excluded. Kaplan\u2013Meier estimated rates of rehospitalization due to\n ACS<\/jats:styled-content>\n and revascularization were 6.8% and 4.1%, respectively. In hierarchical, multivariable models, the strongest predictors of rehospitalization for\n ACS<\/jats:styled-content>\n were coronary artery bypass graft prior to\n AMI<\/jats:styled-content>\n hospitalization (hazard ratio [\n HR<\/jats:styled-content>\n ] 2.12, 95%\n CI<\/jats:styled-content>\n 1.45 to 3.10), female sex (\n HR<\/jats:styled-content>\n 1.67, 95%\n CI<\/jats:styled-content>\n 1.23 to 2.25), and in\u2010hospital\n PCI<\/jats:styled-content>\n (\n HR<\/jats:styled-content>\n 1.85, 95%\n CI<\/jats:styled-content>\n 1.28 to 2.69). The strongest predictors of subsequent revascularization were multivessel disease (\n HR<\/jats:styled-content>\n 2.89, 95%\n CI<\/jats:styled-content>\n 1.90 to 4.39) and in\u2010hospital percutaneous coronary intervention with a bare metal stent (\n HR<\/jats:styled-content>\n 2.08, 95%\n CI<\/jats:styled-content>\n 1.19 to 3.63). The Global Registry of Acute Coronary Events mortality risk score was not associated with the risk of rehospitalization for\n ACS<\/jats:styled-content>\n or revascularization.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Unique characteristics are associated with admissions for\n ACS<\/jats:styled-content>\n and revascularization, as compared with survival. These multivariable risk predictors may help identify patients at high risk for\n ACS<\/jats:styled-content>\n and revascularization, in whom intensification of secondary prevention therapies or closer post\u2010\n AMI<\/jats:styled-content>\n follow\u2010up may be warranted.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.114.001352","type":"journal-article","created":{"date-parts":[[2015,2,10]],"date-time":"2015-02-10T06:08:22Z","timestamp":1423548502000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":48,"title":["Risk Factors for Rehospitalization for Acute Coronary Syndromes and Unplanned Revascularization Following Acute Myocardial Infarction"],"prefix":"10.1161","volume":"4","author":[{"given":"Suzanne V.","family":"Arnold","sequence":"first","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"},{"name":"University of Missouri\u2010Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim G.","family":"Smolderen","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"},{"name":"University of Missouri\u2010Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin F.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Li","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya","family":"Shore","sequence":"additional","affiliation":[{"name":"Emory School of Medicine, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua M.","family":"Stolker","sequence":"additional","affiliation":[{"name":"Saint Louis University, St Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute, Durham, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip G.","family":"Jones","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxiang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Spertus","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute, Kansas City, MO"},{"name":"University of Missouri\u2010Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1178"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0b013e31828124ad"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2727"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.22.2557"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.957613"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2013.08.132"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.960468"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.107.181940"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-3462-1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001773"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.108.829523"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-7-28"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/circ.128.suppl_22.A14960"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-1-201207030-00004"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1926"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.123"},{"key":"e_1_3_3_18_2","unstructured":"Centers for Medicare & Medicaid Services . Readmissions reduction program. Available at: http:\/\/www.cms.gov\/medicare\/medicare-fee-for-service-payment\/acuteinpatientpps\/readmissions-reduction-program.html. Accessed October 9 2013."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.404"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.114.001352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T09:55:41Z","timestamp":1715594141000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.114.001352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,30]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,1,30]]}},"alternative-id":["10.1161\/JAHA.114.001352"],"URL":"https:\/\/doi.org\/10.1161\/jaha.114.001352","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,30]]},"assertion":[{"value":"2014-08-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-12-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e001352"}}