{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:35:25Z","timestamp":1785224125496,"version":"3.55.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2015,10,29]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              There are limited data available describing relatively contemporary trends in 30\u2010day rehospitalizations among patients who survive hospitalization after an acute myocardial infarction (AMI) in the community setting. We examined decade\u2010long (2001\u20132011) trends in, and factors associated with, 30\u2010day rehospitalizations in patients discharged from 3 central Massachusetts hospitals after\n              <jats:styled-content style=\"fixed-case\">AMI<\/jats:styled-content>\n              .\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Residents of the Worcester,\n              <jats:styled-content style=\"fixed-case\">MA<\/jats:styled-content>\n              , metropolitan area discharged after AMI from 3 central Massachusetts hospitals on a biennial basis between 2001 and 2011 comprised the study population (N=4810). Logistic regression analyses were used to examine the association between selected factors and 30\u2010day rehospitalizations. The average age of this population was 69\u00a0years, 42% were women, and 92% were white. During the years under study, 18.5% of patients were rehospitalized within 30\u00a0days after hospital discharge. Crude 30\u2010day rehospitalization rates decreased from 20.5% in 2001\u20132003 to 15.8% in 2009\u20132011. After adjusting for several patient characteristics, there was a reduced odds of being rehospitalized in 2009\u20132011 (odds ratio 0.74, 95%\n              <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n              0.61\u20130.91) compared with 2001\u20132003; this trend was slightly attenuated after further adjustment for hospital treatment practices. Female sex, having previously diagnosed heart failure and chronic kidney disease, and the development of in\u2010hospital cardiogenic shock and heart failure were associated with an increased odds of being rehospitalized.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">While the likelihood of subsequent short\u2010term rehospitalizations remained frequent, we observed an encouraging decline during the most recent years under study. Several high\u2010risk groups were identified for purposes of heightened surveillance and intervention efforts to reduce the likelihood of being readmitted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.115.002291","type":"journal-article","created":{"date-parts":[[2015,11,4]],"date-time":"2015-11-04T03:03:46Z","timestamp":1446606226000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":30,"title":["Decade\u2010Long Trends in 30\u2010Day Rehospitalization Rates After Acute Myocardial Infarction"],"prefix":"10.1161","volume":"4","author":[{"given":"Han\u2010Yang","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayra","family":"Tisminetzky","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate L.","family":"Lapane","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Yarzebski","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharina D.","family":"Person","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina I.","family":"Kiefe","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel M.","family":"Gore","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"},{"name":"Department of Medicine, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA"},{"name":"Meyers Primary Care Institute, University of Massachusetts Medical School, Worcester, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000152"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.08.018"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.108.832949"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-1-201207030-00004"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.72"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.957498"},{"key":"e_1_3_4_8_2","unstructured":"Patient protection and affordable care act. 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