دورية أكاديمية
أعرض في EDS

Association Between Psychosocial Risk Factors and Readmissions After Acute Myocardial Infarction: Role of COVID-19 Pandemic.

التفاصيل البيبلوغرافية
العنوان: Association Between Psychosocial Risk Factors and Readmissions After Acute Myocardial Infarction: Role of COVID-19 Pandemic.
المؤلفون: Bansal K; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Majmundar V; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Muthyala A; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Arun Kumar P; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Dasari M; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Kasireddy TR; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Yukselen Z; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA; School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA., Singh T; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Nakhla M; Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA., Anugu VR; John Ochsner Heart and Vascular Institute, Slidell, LA., Desai N; Department of Medicine, Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT., Ganatra S; Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA., Dani SS; Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA. Electronic address: Sourbha.s.dani@lahey.org.
المصدر: Current problems in cardiology [Curr Probl Cardiol] 2023 Oct; Vol. 48 (10), pp. 101881. Date of Electronic Publication: 2023 Jun 17.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 7701802 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-6280 (Electronic) Linking ISSN: 01462806 NLM ISO Abbreviation: Curr Probl Cardiol Subsets: MEDLINE
أسماء مطبوعة: Publication: [Amsterdam] : Elsevier
Original Publication: Chicago, Year Book Medical Publishers.
مواضيع طبية MeSH: COVID-19*/complications , COVID-19*/epidemiology , Myocardial Infarction*/epidemiology , Myocardial Infarction*/diagnosis , Heart Failure*/epidemiology, Adult ; Humans ; Female ; Adolescent ; Male ; Patient Readmission ; Pandemics ; Risk Factors
مستخلص: Psychosocial risk factors (PSRFs) are known to be associated with worse cardiovascular (CV) outcomes. However, there are limited data on the impact of PSRFs on readmissions after acute myocardial infarction (AMI) before and during the COVID-19 (Coronavirus Disease 2019) pandemic. Therefore, we aimed to examine this association and whether the effects of PSRFs were amplified during the COVID-19 pandemic. We queried the 2019 and 2020 Nationwide Readmissions Database for adult (age ≥18 years) index admissions with AMI as the primary diagnosis. They were then divided into 2 cohorts based on the presence or absence of ≥1 PSRF and compared across non-COVID-19 (2019) and COVID-19 (2020) time periods. The primary outcome was 30-day all-cause readmissions. Secondary outcomes included cause-specific readmissions (cardiac, noncardiac, AMI, heart failure). Multivariable hierarchical logistic regression was conducted to evaluate differences in outcomes. The study included 380,820 patients with index AMI, of which 214,384 (56%) had ≥1 PSRFs. Patients with PSRFs were younger, more likely to be female, and had a higher prevalence of CV risk factors. Of 30-day all-cause readmissions were higher in patients with PSRFs in both eras. Moreover, noncardiac and heart failure readmissions were also higher in patients with PSRFs admitted with AMI in 2019 and 2020. This study of a nationally representative population magnifies the association of PSRF with more unplanned readmissions after AMI in both pre-COVID-19 and COVID-19 times.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Dr. Desai reports working under contract with the Centers for Medicare and Medicaid Services to develop and maintain performance measures used for public reporting and pay for performance programs. He reports research grants and/or consulting for Amgen, Astra Zeneca, Bayer, Boehringer Ingelheim, Bristol Myers Squibb, Cytokinetics, Merck, Novartis, SCPharmaceuticals, and Vifor. All other authors have nothing to disclose.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
معلومات مُعتمدة: UL1 TR001863 United States TR NCATS NIH HHS
تواريخ الأحداث: Date Created: 20230619 Date Completed: 20231216 Latest Revision: 20240312
رمز التحديث: 20240312
مُعرف محوري في PubMed: PMC10276487
DOI: 10.1016/j.cpcardiol.2023.101881
PMID: 37336310
قاعدة البيانات: MEDLINE
الوصف
تدمد:1535-6280
DOI:10.1016/j.cpcardiol.2023.101881