Incidence, Predictors, and Impact of Hospital Readmission After Revascularization for Left Main Coronary Disease (JACC March 2024-2)-Article: Incidence, Predictors, and Impact of Hospital Readmission After Revascularization for Left Main Coronary Disease

Article: Incidence, Predictors, and Impact of Hospital Readmission After Revascularization for Left Main Coronary Disease

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The study conducted by Kosmidou et al. analyzed the incidence, predictors, and impact of hospital readmissions following percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for left main coronary artery disease (LMCAD). They found that within 5 years, approximately 45.2% of patients experienced readmissions, with one-half for cardiovascular causes and one-half for non-cardiovascular causes. Patients who underwent PCI had a higher rate of readmissions compared to those who had CABG. Female sex, comorbidities, and the extent of coronary artery disease were independent predictors of readmission. Additionally, readmission was associated with a higher risk of subsequent mortality, particularly after PCI compared to CABG.<br /><br />The study provides insights into the frequency of readmissions, the types of causes leading to hospital readmissions, and the impact of readmission on long-term mortality for patients undergoing revascularization for LMCAD. Identifying predictors of readmissions, such as patient demographics and comorbidities, can help healthcare providers in risk stratification and developing preventive strategies. The findings emphasize the need for monitoring patients post-revascularization and implementing measures to reduce readmissions, especially after PCI. Further research is suggested to enhance risk stratification and improve outcomes for patients with LMCAD undergoing revascularization procedures.

Keywords

hospital readmissions

percutaneous coronary intervention

coronary artery bypass grafting

left main coronary artery disease

cardiovascular causes

non-cardiovascular causes

female sex

comorbidities

long-term mortality

risk stratification