TY - JOUR
T1 - Impact of diabetes on long-term all-cause re-hospitalization after revascularization with percutaneous coronary intervention
AU - Hansen, Kirstine N
AU - Noori, Manijeh
AU - Christiansen, Evald H
AU - Kristiansen, Eskild B
AU - Maeng, Michael
AU - Zwisler, Ann Dorthe O
AU - Borregaard, Britt
AU - Søgaard, Rikke
AU - Veien, Karsten T
AU - Junker, Anders
AU - Jensen, Lisette Okkels
PY - 2022
Y1 - 2022
N2 - PURPOSE: The purpose of the study was to investigate the incidence, cause and probability of re-hospitalization within 30 and 365 days after percutaneous coronary intervention (PCI) in patients with diabetes.METHOD: Between January 2010 and September 2014, 2763 patients with diabetes were treated with PCI at two Hospitals in Western Denmark. Reasons for readmission within 30 and 365 days were identified.RESULTS: Readmission risks for patients with diabetes were 58% within 365 days and 18% within 30 days. Reason for readmission was ischemic heart disease (IHD) in 725 patients (27%), and non-IHD-related reasons in 826 patients (31%). IHD-related readmission within 365 days was associated with female gender (OR 1.3, 95% CI: 1.1-1.5), and non-ST-segment elevation myocardial infarction, compared to stable angina at the index hospitalization (OR 1.3, 95% CI: 1.1-1.6). Among patients with diabetes, increased risk of readmission due to other reasons were age (OR 1.3, 95% CI: 1.2-1.5) and higher scores of modified Charlson Comorbidity index (CCI): CCI ≥3 (OR 3.6, 95% CI: 2.8-4.6).CONCLUSION: More than half of the patients with diabetes mellitus undergoing PCI were readmitted within 1 year. Comorbidities were the strongest predictor for non-IHD-related readmission, but did not increase the risk for IHD-related readmissions.
AB - PURPOSE: The purpose of the study was to investigate the incidence, cause and probability of re-hospitalization within 30 and 365 days after percutaneous coronary intervention (PCI) in patients with diabetes.METHOD: Between January 2010 and September 2014, 2763 patients with diabetes were treated with PCI at two Hospitals in Western Denmark. Reasons for readmission within 30 and 365 days were identified.RESULTS: Readmission risks for patients with diabetes were 58% within 365 days and 18% within 30 days. Reason for readmission was ischemic heart disease (IHD) in 725 patients (27%), and non-IHD-related reasons in 826 patients (31%). IHD-related readmission within 365 days was associated with female gender (OR 1.3, 95% CI: 1.1-1.5), and non-ST-segment elevation myocardial infarction, compared to stable angina at the index hospitalization (OR 1.3, 95% CI: 1.1-1.6). Among patients with diabetes, increased risk of readmission due to other reasons were age (OR 1.3, 95% CI: 1.2-1.5) and higher scores of modified Charlson Comorbidity index (CCI): CCI ≥3 (OR 3.6, 95% CI: 2.8-4.6).CONCLUSION: More than half of the patients with diabetes mellitus undergoing PCI were readmitted within 1 year. Comorbidities were the strongest predictor for non-IHD-related readmission, but did not increase the risk for IHD-related readmissions.
KW - Diabetes Mellitus/diagnosis
KW - Female
KW - Hospitalization
KW - Humans
KW - Myocardial Ischemia/diagnosis
KW - Non-ST Elevated Myocardial Infarction
KW - Patient Readmission
KW - Percutaneous Coronary Intervention/adverse effects
KW - Risk Factors
KW - Time Factors
KW - Treatment Outcome
UR - http://www.scopus.com/inward/record.url?scp=85134772350&partnerID=8YFLogxK
U2 - 10.1177/14791641221113788
DO - 10.1177/14791641221113788
M3 - Journal article
C2 - 35861372
SN - 1479-1641
VL - 19
JO - Diabetes and Vascular Disease Research
JF - Diabetes and Vascular Disease Research
IS - 4
M1 - 14791641221113788
ER -