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Background and Aim: Timing of discharge after percutaneous coronary intervention (PCI) is a crucial aspect of procedural safety and patient turnover. We examined predictors and outcomes of same-day discharge (SDD) after non-elective PCI for non-ST elevation acute coronary syndromes (NSTE-ACS) in comparison with next-day discharge (NDD)., Methods: Baseline demographic, clinical, and procedural data were collected as were in-hospital outcomes and post-PCI length of stay (LOS) for all patients undergoing non-elective PCI for NSTE-ACS between 2011 and 2014 at a central tertiary care center. Thirty day and 1-year mortality and bleeding as well as 30-day readmission rates were determined from social security record and medical chart review. Logistic regression was performed to identify predictors of SDD, and propensity-matched analysis was done to examine the differences in outcomes between NDD and SDD., Results: Out of 2,529 patients who underwent non-elective PCI for NSTE-ACS from 2011 to 2014, 1,385 met the inclusion criteria (mean age = 63 years; 26% women) and were discharged either the same day of (N = 300) or the day after (N = 1,085) PCI. Thirty-day and one-year mortality and major bleeding rates were similar between the 2 groups. Logistic regression identified male sex, radial access, negative troponin biomarker status, and procedure start time as predictors of SDD. In propensity-matched analyses, there was no difference in 30-day mortality and readmission between SDD and NDD groups., Conclusions: SDD after non-elective PCI for NSTE-ACS may be a reasonable alternative to NDD for selected low-risk patients with comparable mortality, bleeding, and readmission rates., Competing Interests: Conflicts of interest The authors do not report any conflict of interest., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Background and Aim: Patients undergoing percutaneous coronary intervention (PCI) are at high-risk for hospital readmission. We examined the rate, factors associated with, and outcomes of 30-day readmissions for patients who underwent a PCI., Methods: We reviewed medical records of all patients who underwent PCI between 2011 and 2014 at a central New England radial first, tertiary care center. Data was collected on occurrence and cause of readmission as well as patients' bleeding events and survival at one year. Logistic regression was used to examine factors associated with 30-day readmission as well as its association with bleeding and all-cause mortality., Results: A total of 3858 patients were studied (mean age = 62.8 years with 26.1% women), among whom 348 (9.5%) patients were readmitted within 30-days. Cardiac causes of readmission represented 62% of all readmissions. In the multi-variable adjusted regression model, factors that were significantly associated with 30-day readmission included female gender, prior coronary bypass surgery, acute coronary syndrome, anemia, length of stay, and delay in initial presentation. Patients who were readmitted had more than twice the risk of bleeding and mortality at one year as compared to those who were not readmitted within 30 days., Conclusions: In conclusion, our results suggest that early hospital readmission after undergoing PCI is common and has not changed in recent years. Efforts should be made to identify and closely monitor patients who are at risk for readmission after PCI., Competing Interests: Declaration of competing interest The authors have no conflicts of interest to declare., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Background: Patients with acute myocardial infarction (AMI) are a high-risk population for readmission within 30-days. During the hospitalization, they are at high risk for major bleeding events, heart failure exacerbation, and arrhythmias. We investigated the diagnosis for patients readmitted within 30 days and sought to assess variables that could predict 30-day readmissions. Methods: We conducted a retrospective study of all patients admitted for AMI and underwent primary cutaneous interventio n (PCI) at a single tertiary center between 2011 and 2014. Subjects were followed for 30 days to assess occurrence and cause of readmission within that period. Logistic regression analysis was used to investigate factors predicting 30-day readmission. Results: A total of 3,858 subjects were included in this analysis, among which 348 (9.5%) patients were readmitted within 30-days. 62% of all readmissions were cardiac related. A variety of other non-cardiac causes for readmission were identified and the most common etiologies were gastrointestinal (23%), infectious (13%), musculoskeletal (7.5%) and respiratory (5.2%). Those who were readmitted for all causes were more likely to be older, females, diabetic, anemic, have a history of coronary artery bypass graft (CABG), a femoral arterial access during PCI, and a delay in their presentation more than 24 hours. After adjusting for demographic factors, comorbidities and medications, factors that predict 30-day readmission were only prior CABG and a delay in the initial presentation for more than 24 hours, while receiving aspirin and beta blockers were significantly associated with lower odds of readmission. Finally, 30-day readmission post-discharge was associated with more than twice the risk of mortality at 30 days and one year, adjusting for multiple confounders. Conclusions: Early readmission after discharge with diagnosis for an AMI is due to both cardiac and non-cardiac causes and affects long-term mortality. Efforts should be made to identify and closely monitor patients who are at risk of readmission following their initial presentation. [ABSTRACT FROM AUTHOR]