Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jul;24(7):807-815.
doi: 10.1007/s11886-022-01702-8. Epub 2022 Apr 30.

Readmission After ACS: Burden, Epidemiology, and Mitigation

Affiliations
Review

Readmission After ACS: Burden, Epidemiology, and Mitigation

Peter K Boulos et al. Curr Cardiol Rep. 2022 Jul.

Abstract

Purpose of review: The past decade has brought increased efforts to better understand causes for ACS readmissions and strategies to minimize them. This review seeks to provide a critical appraisal of this rapidly growing body of literature.

Recent findings: Prior to 2010, readmission rates for patients suffering from ACS remained relatively constant. More recently, several strategies have been implemented to mitigate this including improved risk assessment models, transition care bundles, and development of targeted programs by federal organizations and professional societies. These strategies have been associated with a significant reduction in ACS readmission rates in more recent years. With this, improvements in 30-day post-discharge mortality rates are also being appreciated. As we continue to expand our knowledge on independent risk factors for ACS readmissions, further strategies targeting at-risk populations may further decrease the rate of readmissions. Efforts to understand and reduce 30-day ACS readmission rates have resulted in overall improved quality of care for patients.

Keywords: Acute coronary syndrome; Myocardial infarction; Quality improvement; Readmission.

PubMed Disclaimer

References

Papers of particular interest, published recently, have been highlighted as: • Of importance
    1. Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart Disease and Stroke Statistics-2021 update: a report from the American Heart Association. Circulation. 2021;143(8):e254–743. https://doi.org/10.1161/CIR.0000000000000950 . - DOI - PubMed
    1. HCUP National Inpatient Sample (NIS). In: (HCUP) HCaUP, editor. Rockville, MD: Agency for Healthcare Research and Quality. 2018.
    1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–28. https://doi.org/10.1056/NEJMsa0803563 . - DOI - PubMed
    1. Krumholz HM, Merrill AR, Schone EM, Schreiner GC, Chen J, Bradley EH, et al. Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. Circ Cardiovasc Qual Outcomes. 2009;2(5):407–13. https://doi.org/10.1161/CIRCOUTCOMES.109.883256 . - DOI - PubMed
    1. • Kwok CS, Capers Q, Savage M, Gulati M, Potts J, Mohamed MO, et al. Unplanned hospital readmissions after acute myocardial infarction: a nationwide analysis of rates, trends, predictors and causes in the United States between 2010 and 2014. Coron Artery Dis. 2020;31(4):354–64. https://doi.org/10.1097/MCA.0000000000000844 . This study provides a comprehensive review on the burden, epidemiology, and impact of ACS readmissions utilizing a large NRD dataset that allows for improved external validity. - DOI - PubMed

LinkOut - more resources