Clinical Model to Predict 90-Day Risk of Readmission After Acute Myocardial Infarction.

ABSTRACT:

Background

Readmissions within 30 days after acute myocardial infarction have been used as a performance metric for hospitals. However, evolving concepts of value-based reimbursement have shifted the focus to 90 days after hospital discharge. Tools are needed to determine risk for 90-day readmission to identify patients who might benefit from enhanced transitional healthcare resources.

Methods and results

In this cohort study, we identified all Medicare beneficiaries with a primary diagnosis of acute myocardial infarction who were discharged from hospitals participating in National Cardiovascular Data Registry ACTION registry between 2008 and 2014. Among a random 70% sample (derivation cohort), we performed hierarchical proportional hazards regression, accounting for death a

SUBMITTER: Kini V 

PROVIDER: S-EPMC6214661 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature