Impact of diabetes on long-term all-cause re-hospitalization after revascularization with percutaneous coronary intervention

Abstract

Purpose: The purpose of the study was to investigate the incidence, cause and probability of re-hospitalization within 30 and 365 days after percutaneous coronary intervention (PCI) in patients with diabetes. Method: Between January 2010 and September 2014, 2763 patients with diabetes were treated with PCI at two Hospitals in Western Denmark. Reasons for readmission within 30 and 365 days were identified. Results: Readmission risks for patients with diabetes were 58% within 365 days and 18% within 30 days. Reason for readmission was ischemic heart disease (IHD) in 725 patients (27%), and non-IHD-related reasons in 826 patients (31%). IHD-related readmission within 365 days was associated with female gender (OR 1.3, 95% CI: 1.1–1.5), and non-ST-segment elevation myocardial infarction, compared to stable angina at the index hospitalization (OR 1.3, 95% CI: 1.1–1.6). Among patients with diabetes, increased risk of readmission due to other reasons were age (OR 1.3, 95% CI: 1.2–1.5) and higher scores of modified Charlson Comorbidity index (CCI): CCI ≥3 (OR 3.6, 95% CI: 2.8–4.6). Conclusion: More than half of the patients with diabetes mellitus undergoing PCI were readmitted within 1 year. Comorbidities were the strongest predictor for non-IHD-related readmission, but did not increase the risk for IHD-related readmissions.

The association between metabolic syndrome and major adverse cardiac and cerebrovascular events in patients with acute coronary syndrome undergoing percutaneous coronary intervention

“…Moreover, increased risks of death, MI, and revascularization have been observed in diabetic patients undergoing PCI 40 . In a study by Hansen et al, the authors showed that more than half of the diabetic patients undergoing PCI had readmissions within one year, which was increased by the presence of other risk factors 41 . This finding was observed in other studies as well 42 , 43 .…”

Relationship Between Fasting Blood Glucose and Readmission Within 1 Year in Elderly Patients with Heart Failure

“…Consistent with our results, researchers have explored the relationship between FBG levels and readmission rates in patients with HF. One retrospective study analyzed the association between glycemic status, including FBG, and readmission rates in HF patients with diabetes mellitus [12]. They found that higher FBG levels were associated with a higher risk of all-cause readmission and cardiovascular readmission.…”