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

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dc.contributor.authorÖz, Tuǧba Kemaloǧlu
dc.contributor.authorKivrak, Tarik
dc.contributor.authorAlmaghraby, Abdallah
dc.contributor.authorAbdelnabi, Mahmoud
dc.contributor.authorTasar, Onur
dc.contributor.authorUygur, Begum
dc.contributor.authorAksakal, Emrah
dc.date.accessioned2025-03-09T10:57:37Z
dc.date.available2025-03-09T10:57:37Z
dc.date.issued2021
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractBackground: 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. © 2021 Society of Cardiovascular Academy. All rights reserved.
dc.identifier.doi10.4103/ijca.ijca_60_20
dc.identifier.endpage49
dc.identifier.issn2405-819X
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85187155452
dc.identifier.scopusqualityQ4
dc.identifier.startpage45
dc.identifier.urihttps://doi.org/10.4103/ijca.ijca_60_20
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4939
dc.identifier.volume7
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofInternational Journal of the Cardiovascular Academy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250310
dc.subjectAcute coronary syndrome
dc.subjectclinical characteristics
dc.subjectdemographics
dc.subjectmedication
dc.subjectrehospitalization
dc.titleDemographic, clinical characteristics and medications of rehospitalized patients for acute coronary syndrome: boomerang study
dc.typeArticle

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