International Journal of the Cardiovascular Academy (Jan 2021)

Demographic, clinical characteristics and medications of rehospitalized patients for acute coronary syndrome: boomerang study

  • Tugba Kemaloglu Oz,
  • Tarik Kivrak,
  • Abdallah Almaghraby,
  • Mahmoud Abdelnabi,
  • Onur Tasar,
  • Begum Uygur,
  • Emrah Aksakal,
  • Gobinda Kanti Paul,
  • Seyyad Farshad Sadri,
  • Fatemeh Nikroo,
  • Yagoub Musa,
  • Batur Kanar,
  • Hakki Kaya,
  • Fady Gerges,
  • Yusuf Cekici,
  • Arash Hashemi,
  • Bilal Cuglan,
  • Lutfu Bekar,
  • Irina Kotlar,
  • Mustafa Yenercag,
  • Mesut Gitmez,
  • Aysel Akhundova,
  • Sinan Inci,
  • Mehtap Yeni,
  • Mustafa Dogdus,
  • Meltem Altinsoy,
  • Ayman Helal,
  • Shafa Shahbazova,
  • Fatih Tamnik,
  • Patrick W J Tiau,
  • Ibrahim Ersoy,
  • Fadime Bozdurman,
  • Mehdi Zoghi

DOI
https://doi.org/10.4103/ijca.ijca_60_20
Journal volume & issue
Vol. 7, no. 2
pp. 45 – 49

Abstract

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Background: Rehospitalizations with acute coronary syndromes (ACSs) have declined over the last years, but there is a remaining need for potential further reduction of rehospitalization after ACS to determine the most predominant predictors that can guide strategies to reduce re-hospitalizations burden. Aim: This multi-center study aimed to evaluate the demographic, clinical characteristics, and medications of rehospitalized patients who suffered a new cardiac event in 12 months after admission due to ACS. Material and Methods: Patients age >18 years who have been hospitalized between November 1 2017, and April 1 2018, for ACS within12 months before the readmission for a new acute coronary event were enrolled. Results: The present study included a total of 628 (65.9% from Turkey) consecutive patients rehospitalized with ACS (ST-elevation myocardial infarction [STEMI], 23.0%; ACS without ST-elevation [NSTE-ACS], 76.9%) from 15 different countries. The majority of the rehospitalized patients were men (67.9%), and the mean age was 63.1 ± 12.53 years. 406 (64.6%) had typical, 209 (33.2%) of patients had atypical chest pain and 13 (2.07%) had not any chest pain complaint during readmission. 304 (48.41%) of patients were discharged from hospital earlier than 3 days and 107 (17.04%) of patients stayed more than 7 days. The subcategories of first index diagnosis were 227 (36.1%) STEMI; 401 (63.8%) NSTE-ACS. The mean time from index discharge to rehospitalization was 189.25 ± 118 days. 248 (39.4%) patients were re-hospitalized more than once after index discharge. The most common risk factors were diabetes mellitus (471, 75.0%). 175 (27.87%) of patients stopped taking medication before re-hospitalization. Most of the patients (69.4%) had multivessel disease. Conclusion: Several factors identify patients at higher risk of rehospitalization with ACS. Understanding and preventing these causes can prevent rehospitalization and improve their outcome.

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