{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:43:23Z","timestamp":1789130603325,"version":"build-2803163510"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"18","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,9,18]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Readmission after ST\u2010segment\u2013elevation myocardial infarction (\n              <jats:styled-content style=\"fixed-case\">STEMI<\/jats:styled-content>\n              ) poses an enormous economic burden to the\n              <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>\n              healthcare system. Efforts to prevent readmissions should be based on understanding the timing and causes of these readmissions. This study aimed to investigate contemporary causes, timing, and cost of 30\u2010day readmissions after\n              <jats:styled-content style=\"fixed-case\">STEMI<\/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              All\n              <jats:styled-content style=\"fixed-case\">STEMI<\/jats:styled-content>\n              hospitalizations were selected in the Nationwide Readmissions Database (\n              <jats:styled-content style=\"fixed-case\">NRD<\/jats:styled-content>\n              ) from 2010 to 2014. The 30\u2010day readmission rate as well as the primary cause and cost of readmission were examined. Multivariate regression analysis was performed to identify the predictors of 30\u2010day readmission and increased cumulative cost. From 2010 to 2014, the 30\u2010day readmission rate after\n              <jats:styled-content style=\"fixed-case\">STEMI<\/jats:styled-content>\n              was 12.3%. Within 7\u00a0days of discharge, 43.9% were readmitted, and 67.3% were readmitted within 14\u00a0days. The annual rate of 30\u2010day readmission decreased by 19% from 2010 to 2014 (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Female sex,\n              <jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>\n              , anemia,\n              <jats:styled-content style=\"fixed-case\">chronic kidney disease<\/jats:styled-content>\n              , collagen vascular disease, diabetes mellitus, hypertension, pulmonary hypertension,\n              <jats:styled-content style=\"fixed-case\">congestive heart failure<\/jats:styled-content>\n              , atrial fibrillation, and increased length of stay were independent predictors of 30\u2010day readmission. A large proportion of patients (41.6%) were readmitted for noncardiac reasons. After multivariate adjustment, 30\u2010day readmission was associated with a 47.9% increase in cumulative cost (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Two thirds of patients were readmitted within the first 14\u00a0days after\n              <jats:styled-content style=\"fixed-case\">STEMI<\/jats:styled-content>\n              , and a large proportion of patients were readmitted for noncardiac reasons. Thirty\u2010day readmission was associated with an \u224850% increase in cumulative hospitalization costs. These findings highlight the importance of closer surveillance of both cardiac and general medical conditions in the first several weeks after\n              <jats:styled-content style=\"fixed-case\">STEMI<\/jats:styled-content>\n              discharge.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.009863","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T15:02:17Z","timestamp":1537110137000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":66,"title":["Thirty\u2010Day Readmission Rates, Timing, Causes, and Costs after ST\u2010Segment\u2013Elevation Myocardial Infarction in the United States: A National Readmission Database Analysis 2010\u20132014"],"prefix":"10.1161","volume":"7","author":[{"given":"Luke K.","family":"Kim","sequence":"first","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilhwan","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Medicine Icahn School of Medicine at Mount Sinai New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jim W.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh V.","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute Duke University Medical Center Durham NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Chiu","family":"Wong","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Charitakis","sequence":"additional","affiliation":[{"name":"Department of Cardiology McGovern Medical School University of Texas Health Science Center Houston TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwayemisi","family":"Adejumo","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Chae","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Minutello","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Bergman","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsimran","family":"Singh","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitriy N.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Weill Cornell Cardiovascular Outcomes Research Group (CORG) Division of Cardiology Department of Medicine Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30677-8"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908610"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000558"},{"key":"e_1_3_1_5_2","unstructured":"Torio CM Moore BJ. 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