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Readmissions after Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia among Young and Middle-Aged Adults: A Retrospective Observational Cohort Study

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  • Isuru Ranasinghe
  • Yongfei Wang
  • Kumar Dharmarajan
  • Angela F Hsieh
  • Susannah M Bernheim
  • Harlan M Krumholz

Abstract

: Isuru Ranasinghe and colleagues compare readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia in adults aged 18 to 64 years with readmissions in those aged 65 and older. Background: Patients aged ≥65 years are vulnerable to readmissions due to a transient period of generalized risk after hospitalization. However, whether young and middle-aged adults share a similar risk pattern is uncertain. We compared the rate, timing, and readmission diagnoses following hospitalization for heart failure (HF), acute myocardial infarction (AMI), and pneumonia among patients aged 18–64 years with patients aged ≥65 years. Methods and Findings: We used an all-payer administrative dataset from California consisting of all hospitalizations for HF (n = 206,141), AMI (n = 107,256), and pneumonia (n = 199,620) from 2007–2009. The primary outcomes were unplanned 30-day readmission rate, timing of readmission, and readmission diagnoses. Our findings show that the readmission rate among patients aged 18–64 years exceeded the readmission rate in patients aged ≥65 years in the HF cohort (23.4% vs. 22.0%, p

Suggested Citation

  • Isuru Ranasinghe & Yongfei Wang & Kumar Dharmarajan & Angela F Hsieh & Susannah M Bernheim & Harlan M Krumholz, 2014. "Readmissions after Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia among Young and Middle-Aged Adults: A Retrospective Observational Cohort Study," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-18, September.
    • Handle: RePEc:plo:pmed00:1001737
    DOI: 10.1371/journal.pmed.1001737
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    Cited by:

    1. Yunke Shi & Ruxin Jiang & Caifeng Zhu & Min Zhang & Hongyan Cai & Zhao Hu & Yujia Ye & Yixi Liu & Huang Sun & Yiming Ma & Xingyu Cao & Dan Yang & Mingqiang Wang & Adrian Loerbroks & Jian Li, 2021. "High Job Burnout Predicts Low Heart Rate Variability in the Working Population after a First Episode of Acute Coronary Syndrome," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    2. Harlan M Krumholz & Angela Hsieh & Rachel P Dreyer & John Welsh & Nihar R Desai & Kumar Dharmarajan, 2016. "Trajectories of Risk for Specific Readmission Diagnoses after Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-14, October.
    3. Snigdha Jain & Rohan Khera & Eric M Mortensen & Jonathan C Weissler, 2018. "Readmissions of adults within three age groups following hospitalization for pneumonia: Analysis from the Nationwide Readmissions Database," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-12, September.

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