Nearly 10% of patients who undergo percutaneous coronary interventions, such as angioplasty, are readmitted to the hospital within 30 days, according to a study published online in the Archives of Internal Medicine.
Nearly 10% of PCI patients readmitted: study
The CMS mandates public reporting of 30-day readmission rates for patients who undergo PCI, but existing data are limited because only about half of the procedures are performed on Medicare beneficiaries, according to the study. To get a more complete picture, the authors examined more than 15,000 PCI hospitalizations over a 10-year period at a hospital in Rochester, Minn.
More than 1,400 patients, or 9.4%, were readmitted within 30 days. In addition, they found that such readmissions were associated with increased risk of one-year mortality.
Poor care transitions and inadequate follow-up may be partly to blame, the authors said.
“Early follow-up allows patient and clinicians to ensure understanding and compliance and to gauge the effectiveness of therapies,” the authors wrote in the article. “The educational component of follow-up cannot be underestimated because in one study, less than half of patients were able to list their diagnoses and the names, purpose, and adverse effects of their medications at the time of discharge.”
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