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Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis.

Publication ,  Journal Article
Sreenivasan, J; Khan, MS; Hooda, U; Khan, SU; Aronow, WS; Mookadam, F; Krasuski, RA; Cooper, HA; Michos, ED; Panza, JA
Published in: Am J Med
December 2020

BACKGROUND: Acute pericarditis is a frequent cause of hospitalization in the United States. Although recurrence of this condition is common, few studies have investigated hospital readmissions in this patient population. METHODS: We queried the National Readmission Database for the years 2016 and 2017 to identify adult admissions for acute pericarditis, and analyzed the data for 30-day readmission. Using multivariate Cox regression analysis, we identified clinical characteristics that were independently predictive of hospital readmission within 30 days. RESULTS: A total of 21,335 patients (mean age 52.5 ± 0.2 years; 38.3% women) who were discharged following hospitalization for acute pericarditis were included. The rate of 30-day readmission was 12.9% (n = 2740). Increasing age (adjusted hazard ratio [HR] 1.05 per 5-year increase; 95% confidence interval [CI], 1.02-1.09; P < 0.001), female sex (adjusted HR 1.33; 95% CI, 1.18-1.49; P < 0.001), dialysis dependence (adjusted HR 1.70; 95% CI, 1.30-2.22; P < 0.001), chronic obstructive pulmonary disease (adjusted HR 1.27; 95% CI, 1.11-1.45; P < 0.001), and presence of pericardial effusion (adjusted HR 1.24; 95% CI, 1.04-1.49; P = 0.02) were independently associated with a higher risk of readmission. In-hospital mortality was significantly higher after readmission than for the index hospitalization (3.4% vs 1.0%, P < 0.001). CONCLUSION: After hospitalization for acute pericarditis, readmission within 30 days is common and is associated with increased mortality. Identification of characteristics associated with a higher risk of readmission may lead to focused interventions to improve outcomes.

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Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

December 2020

Volume

133

Issue

12

Start / End Page

1453 / 1459.e1

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Pericarditis
  • Patient Readmission
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • General & Internal Medicine
  • Female
  • 42 Health sciences
 

Citation

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ICMJE
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Sreenivasan, J., Khan, M. S., Hooda, U., Khan, S. U., Aronow, W. S., Mookadam, F., … Panza, J. A. (2020). Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis. Am J Med, 133(12), 1453-1459.e1. https://doi.org/10.1016/j.amjmed.2020.05.027
Sreenivasan, Jayakumar, Muhammad Shahzeb Khan, Urvashi Hooda, Safi U. Khan, Wilbert S. Aronow, Farouk Mookadam, Richard A. Krasuski, Howard A. Cooper, Erin D. Michos, and Julio A. Panza. “Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis.Am J Med 133, no. 12 (December 2020): 1453-1459.e1. https://doi.org/10.1016/j.amjmed.2020.05.027.
Sreenivasan J, Khan MS, Hooda U, Khan SU, Aronow WS, Mookadam F, et al. Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis. Am J Med. 2020 Dec;133(12):1453-1459.e1.
Sreenivasan, Jayakumar, et al. “Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis.Am J Med, vol. 133, no. 12, Dec. 2020, pp. 1453-1459.e1. Pubmed, doi:10.1016/j.amjmed.2020.05.027.
Sreenivasan J, Khan MS, Hooda U, Khan SU, Aronow WS, Mookadam F, Krasuski RA, Cooper HA, Michos ED, Panza JA. Rate, Causes, and Predictors of 30-Day Readmission Following Hospitalization for Acute Pericarditis. Am J Med. 2020 Dec;133(12):1453-1459.e1.
Journal cover image

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

December 2020

Volume

133

Issue

12

Start / End Page

1453 / 1459.e1

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Pericarditis
  • Patient Readmission
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • General & Internal Medicine
  • Female
  • 42 Health sciences