Table 3. 30-day all-cause readmission rates by follow-up and baseline characteristics.
NSTEMI | Heart failure | |||
---|---|---|---|---|
% | P value | % | P value | |
Early follow-up | ||||
Yes | 17.4 | <0.001 | 20.7 | <0.001 |
No | 28.3 | 31.2 | ||
Early follow-up with the same physician | ||||
Yes | 14.4 | <0.001 | 18.1 | <0.001 |
No | 27.0 | 29.2 | ||
Early follow-up with a cardiologist | ||||
Yes | 15.3 | <0.001 | 18.1 | <0.001 |
No | 23.6 | 26.5 | ||
Patient Characteristics | ||||
Sex | ||||
Male | 18.5 | <0.001 | 23.8 | 0.205 |
Female | 22.9 | 22.9 | ||
Age (yr) | ||||
18–49 | 11.7 | <0.001 | 18.4 | <0.001 |
50–64 | 16.9 | 20.0 | ||
65–79 | 21.2 | 23.3 | ||
80+ | 25.5 | 25.9 | ||
Charlson score | ||||
0–1 | 12.3 | <0.001 | 17.9 | <0.001 |
2–3 | 22.0 | 22.0 | ||
4+ | 30.2 | 29.1 | ||
Medical history | ||||
Hypertension | ||||
Yes | 21.1 | <0.001 | 23.7 | 0.086 |
No | 16.0 | 22.2 | ||
Diabetes mellitus | ||||
Yes | 24.3 | <0.001 | 24.8 | <0.001 |
No | 15.8 | 22.1 | ||
Myocardial infarction | ||||
Yes | 22.9 | 0.040 | 26.5 | 0.005 |
No | 19.5 | 23.0 | ||
Heart Failure | ||||
Yes | 30.2 | <0.001 | 25.6 | <0.001 |
No | 17.9 | 21.6 | ||
Atrial fibrillation or flutter | ||||
Yes | 24.7 | 0.005 | 22.4 | 0.090 |
No | 19.4 | 23.7 | ||
Peripheral vascular disease | ||||
Yes | 25.3 | 0.066 | 28.9 | 0.001 |
No | 19.7 | 23.1 | ||
Renal disease | ||||
Yes | 30.3 | <0.001 | 28.6 | <0.001 |
No | 17.6 | 22.0 | ||
In-hospital treatment | ||||
PCI | ||||
Yes | 13.4 | <0.001 | 17.7 | 0.004 |
No | 28.8 | 23.5 | ||
Intensive care unit use | ||||
Yes | 19.9 | 0.751 | 26.3 | <0.001 |
No | 20.4 | 22.5 | ||
Surgery use | ||||
Yes | 27.4 | <0.001 | 26.5 | 0.069 |
No | 19.2 | 23.2 | ||
Length of stay (d) | ||||
<5 | 14.4 | <0.001 | 19.7 | <0.001 |
6–9 | 18.8 | 22.7 | ||
10+ | 28.9 | 29.9 | ||
Baseline medications | ||||
Aspirin | ||||
Yes | 19.5 | 0.005 | 22.5 | 0.028 |
No | 26.2 | 24.1 | ||
β-Blocker | ||||
Yes | 19.2 | 0.074 | 21.5 | <0.001 |
No | 21.3 | 24.5 | ||
Statin | ||||
Yes | 17.8 | <0.001 | 21.5 | 0.020 |
No | 23.0 | 23.7 | ||
ACEI/ARB | ||||
Yes | 18.9 | 0.003 | 21.8 | <0.001 |
No | 22.6 | 25.6 | ||
Medications within 7 days of discharge | ||||
Aspirin | ||||
Yes | 14.4 | <0.001 | 19.4 | <0.001 |
No | 25.8 | 24.8 | ||
β-Blocker | ||||
Yes | 15.1 | <0.001 | 18.1 | <0.001 |
No | 22.7 | 25.0 | ||
Statin | ||||
Yes | 13.8 | <0.001 | 17.0 | <0.001 |
No | 23.0 | 24.0 | ||
ACEI/ARB | ||||
Yes | 15.1 | <0.001 | 17.1 | <0.001 |
No | 22.6 | 26.2 | ||
Medications within 14 days of discharge | ||||
Aspirin | ||||
Yes | 14.6 | <0.001 | 19.3 | <0.001 |
No | 31.5 | 25.4 | ||
β-Blocker | ||||
Yes | 15.3 | <0.001 | 18.1 | <0.001 |
No | 24.4 | 25.8 | ||
Statin | ||||
Yes | 13.8 | <0.001 | 17.6 | <0.001 |
No | 25.0 | 24.2 | ||
ACEI/ARB | ||||
Yes | 14.6 | <0.001 | 17.0 | <0.001 |
No | 24.9 | 27.8 | ||
Low income | ||||
Yes | 32.7 | 0.001 | 27.9 | 0.059 |
No | 19.7 | 23.2 | ||
Rural residence | ||||
Yes | 21.2 | 0.219 | 23.4 | 0.876 |
No | 19.5 | 23.3 | ||
Number of hospitalizations during the past year | ||||
0 | 15.5 | <0.001 | 18.2 | <0.001 |
1 | 26.0 | 23.4 | ||
2+ | 32.0 | 34.0 | ||
Number of outpatient visits during the past year | ||||
Low | 14.8 | <0.001 | 20.3 | <0.001 |
Medium | 19.7 | 23.3 | ||
High | 25.4 | 26.5 | ||
Hospital Characteristics | ||||
Hospital volume | ||||
Low | 21.2 | 0.041 | 25.5 | <0.001 |
Medium | 20.6 | 23.4 | ||
High | 17.9 | 21.0 | ||
Hospital level | ||||
Academic medical center | 18.0 | <0.001 | 20.0 | <0.001 |
Regional | 22.0 | 24.3 | ||
District | 28.4 | 27.6 | ||
Teaching | ||||
Yes | 19.7 | 0.001 | 22.9 | <0.001 |
No | 36.2 | 26.9 | ||
Location | ||||
Taipei | 18.1 | 0.127 | 22.1 | 0.134 |
Northern | 19.1 | 23.1 | ||
Central | 20.3 | 24.1 | ||
Southern | 22.1 | 25.1 | ||
Kao-Ping | 21.1 | 23.7 | ||
Eastern | 23.3 | 23.6 |
NSTEMI indicates non-ST-segment-elevation myocardial infarction; and PCI, percutaneous coronary intervention.