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ORIGINAL ARTICLE
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 45-49

Demographic, clinical characteristics and medications of rehospitalized patients for acute coronary syndrome: boomerang study


1 Department of Cardiology, Istinye University and Liv Hospital Ulus, Istanbul, Turkey
2 Department of Cardiology, Firat University, Cardiology, Elazig, Turkey
3 Department of Cardiology, University of Alexandria, Alexandria, Egypt
4 Clinical and Experimental Internal Medicine Department, Medical research Institute, University of Alexandria, Alexandria, Egypt
5 Department of Cardiology, Elazig State Hospital, Cardiology, Elazig, Turkey
6 Department of Cardiology, University of Health Science Turkey, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Istanbul, Turkey
7 Department of Cardiology, Regional Training and Research Hospital, Cardiology, Erzurum, Turkey
8 Department of Cardiology, Mymensingh Medical College, Cardiology, Mymensingh, Bangladesh
9 Department of Cardiology, Asiabak Hospital, Cardiology, Asiabak, Iran
10 Department of Cardiology, AlshaabTeaching Hospital, Khatoum, Sudan
11 Department of Cardiology, Marmara University, Cardiology, Istanbul, Turkey
12 Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
13 Department of Cardiovascular sciences, Mediclinic Al Jowhara hospital, UAE
14 Department of Cardiology, Sanliurfa esearch and Educational Hospital, Cardiology, Sanliurfa, Turkey
15 Department of Cardiology, Erfan General Hospital, Tahran, Iran
16 Department of Cardiology, Beykent University, Istanbul, Turkey
17 Department of Cardiology, Hitit University, Çorum, Turkey
18 Department of Cardiology, University Clinic of Cardiology, Skopje, Macedonia
19 Department of Cardiology, University of Health Sciences Samsun Training and Research Hospital, Samsun, Turkey
20 Department of Cardiology, Batman State Hospital, Batman, Turkey
21 Department of Cardiology, Reyap Hospital, Çorlu, Turkey
22 Department of Cardiology, Aksaray University, Aksaray, Turkey
23 Department of Cardiology, Isparta State Hospital, Isparta, Turkey
24 Department of Cardiology, University of Usak Training and Research Hospital, Usak, Turkey
25 Department of Cardiology, University of Health Sciences Ankara Atatürk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey
26 Department of Cardiology, Fayoum University, Egypt
27 Department of Cardiology, Central Hospital of Baku, Azerbaijan, Turkey
28 Department of Cardiology, Ege University, Cardiology, Izmir, Turkey
29 Department of Cardiology, National University of Malaysia, Malaysia
30 Department of Cardiology, Afyon Karahisar University of Health Sciences, Afyon, Turkey
31 Department of Cardiology, Samsun Terme Public Hospital, Samsun, Turkey

Correspondence Address:
Dr. Tugba Kemaloglu Oz
Ulus Ahmet Adnan Saygun Cad, Canan Sk., 34340 Beşiktaş, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijca.ijca_60_20

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Background: Rehospitalizations with acute coronary syndromes (ACSs) have declined over the last years, but there is a remaining need for potential further reduction of rehospitalization after ACS to determine the most predominant predictors that can guide strategies to reduce re-hospitalizations burden. Aim: This multi-center study aimed to evaluate the demographic, clinical characteristics, and medications of rehospitalized patients who suffered a new cardiac event in 12 months after admission due to ACS. Material and Methods: Patients age >18 years who have been hospitalized between November 1 2017, and April 1 2018, for ACS within12 months before the readmission for a new acute coronary event were enrolled. Results: The present study included a total of 628 (65.9% from Turkey) consecutive patients rehospitalized with ACS (ST-elevation myocardial infarction [STEMI], 23.0%; ACS without ST-elevation [NSTE-ACS], 76.9%) from 15 different countries. The majority of the rehospitalized patients were men (67.9%), and the mean age was 63.1 ± 12.53 years. 406 (64.6%) had typical, 209 (33.2%) of patients had atypical chest pain and 13 (2.07%) had not any chest pain complaint during readmission. 304 (48.41%) of patients were discharged from hospital earlier than 3 days and 107 (17.04%) of patients stayed more than 7 days. The subcategories of first index diagnosis were 227 (36.1%) STEMI; 401 (63.8%) NSTE-ACS. The mean time from index discharge to rehospitalization was 189.25 ± 118 days. 248 (39.4%) patients were re-hospitalized more than once after index discharge. The most common risk factors were diabetes mellitus (471, 75.0%). 175 (27.87%) of patients stopped taking medication before re-hospitalization. Most of the patients (69.4%) had multivessel disease. Conclusion: Several factors identify patients at higher risk of rehospitalization with ACS. Understanding and preventing these causes can prevent rehospitalization and improve their outcome.


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