FREQUENCY AND CAUSES OF READMISSION WITHIN 30 DAYS OF DISCHARGE IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION

Abstract

Objective:

To determine the frequency and causes of 30 days readmission in patient undergoing Primary percutaneous coronary intervention (PPCI).

Methods:

This descriptive study including 150 patients of acute myocardial infarction (AMI) who were planned for PPCI was conducted in a tertiary care cardiac facility in Pakistan. Readmission rate within 30 days of discharge from the hospital was noted. Causes of readmission such as STEMI, NSTEMI, stent thrombosis, heart failure, ventricular tachycardia, atrial fibrillation and conduction disorders were noted.

Results:

The baseline characteristics of the patient cohort were as follows: The mean age was 53.98 years with a standard deviation of 6.65 years. Among the participants, 68.7% (103 individuals) were male and 31.3% (47 individuals) were female. Among the 150 patients, 15 (10.0%) were readmitted within 30 days following PPCI. The frequencies of factors contributing to readmission were as follows: ST-elevation myocardial infarction (STEMI) occurred in 2 patients (1.3%), non-ST-elevation myocardial infarction (NSTEMI) in 3 patients (2.0%), and stent thrombosis in 2 patients (1.3%). Heart failure was observed in 6 patients (4.0%), and ventricular tachycardia was reported in 2 (1.3%) patients.

Conclusion:

In our study, the 30-day hospital readmission rate after discharge for patients undergoing primary percutaneous intervention was 10.0%. Common causes included heart failure, NSTEMI, and STEMI.