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

Tugba Kemaloglu Oz; Tarik Kivrak; Abdallah Almaghraby; Mahmoud Abdelnabi; Onur Tasar; Begum Uygur; Emrah Aksakal; Gobinda Kanti Paul; Seyyad Farshad Sadri; Fatemeh Nikroo; Yagoub Musa; Batur Kanar; Hakki Kaya; Fady Gerges; Yusuf Cekici; Arash Hashemi; Bilal Cuglan; Lutfu Bekar; Irina Kotlar; Mustafa Yenercag; Mesut Gitmez; Aysel Akhundova; Sinan Inci; Mehtap Yeni; Mustafa Dogdus; Meltem Altinsoy; Ayman Helal; Shafa Shahbazova; Fatih Tamnik; Patrick W  J Tiau; Ibrahim Ersoy; Fadime Bozdurman; Mehdi Zoghi

doi:10.4103/ijca.ijca_60_20

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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 Tugba Kemaloglu Oz¹, Tarik Kivrak², Abdallah Almaghraby³, Mahmoud Abdelnabi⁴, Onur Tasar⁵, Begum Uygur⁶, Emrah Aksakal⁷, Gobinda Kanti Paul⁸, Seyyad Farshad Sadri⁹, Fatemeh Nikroo⁹, Yagoub Musa¹⁰, Batur Kanar¹¹, Hakki Kaya¹², Fady Gerges¹³, Yusuf Cekici¹⁴, Arash Hashemi¹⁵, Bilal Cuglan¹⁶, Lutfu Bekar¹⁷, Irina Kotlar¹⁸, Mustafa Yenercag¹⁹, Mesut Gitmez²⁰, Aysel Akhundova²¹, Sinan Inci²², Mehtap Yeni²³, Mustafa Dogdus²⁴, Meltem Altinsoy²⁵, Ayman Helal²⁶, Shafa Shahbazova²⁷, Fatih Tamnik²⁸, Patrick W J Tiau²⁹, Ibrahim Ersoy³⁰, Fadime Bozdurman³¹, Mehdi Zoghi²⁸ 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 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijca.ijca_60_20

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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