Author + information
- Aaron D. Kugelmass,
- David Cohen,
- Matthew Reynolds,
- Phillip Brown,
- Marc Katz,
- Michael Schlosser,
- April Simon and
- Steven Culler
Background: Medicare has proposed an episode payment model (bundle) for acute myocardial infarction (AMI). Readmission represents a significant cost of care following discharge. This study reports the types and frequency of readmissions in the 90 day post-discharge period following an AMI hospitalization.
Methods: This retrospective study utilized 2014 Medicare Files identifying 143,286 MBs who were discharged alive from a first AMI hospitalization. All readmissions occurring within 90 days of the index AMI discharge date were identified for each MB. This study reports discharge DRGs for the 40,145 MBs experiencing a hospital readmission overall and stratified by invasive (PCI) or medical index treatment.
Findings: Of the 40,145 (28.0%) MBs that experienced at least one readmission within 90 days of their AMI hospitalization; 31.2% underwent a PCI while 68.8% were initially treated medically. CHF was the most frequent cause for readmission followed by cardiac surgery, sepsis, and respiratory disease, and recurrent angina. Cardiac surgery was a much more common reason for readmission for those treated medically.
Conclusions: This study provides benchmark data on cause of hospital readmission amongst AMI MBs during a 90-day follow up. Additional research will be required to identify factors that predict these readmissions.
Room 150 A
Sunday, March 19, 2017, 8:38 a.m.-8:48 a.m.
Session Title: Highlighted Original Research: Acute and Stable Ischemic Heart Disease and the Year in Review
Abstract Category: 2. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 907-08
- 2017 American College of Cardiology Foundation