Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States
Background: Cardiovascular disease (CVD) can lead to unplanned care in patients with cancer, which may affect their prognosis and survival. We aimed to compare the rates, timing, and length of stay of unplanned CVD readmission in hospitalized patients with and without cancer. Methods: This study use...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2023-11-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411326 |
| _version_ | 1797400735503089664 |
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| author | Sola Han Ted J. Sohn Anton L.V. Avanceña Chanhyun Park |
| author_facet | Sola Han Ted J. Sohn Anton L.V. Avanceña Chanhyun Park |
| author_sort | Sola Han |
| collection | DOAJ |
| description | Background: Cardiovascular disease (CVD) can lead to unplanned care in patients with cancer, which may affect their prognosis and survival. We aimed to compare the rates, timing, and length of stay of unplanned CVD readmission in hospitalized patients with and without cancer. Methods: This study used the 2017–2018 Nationwide Readmissions Database to identify adult hospitalized patients with and without cancer. The primary outcome was 180-day unplanned CVD readmission rates. CVD was defined based on a composite variable that included atrial fibrillation, coronary artery disease, cardiomegaly, cardiomyopathy, heart failure, peripheral artery disease, and stroke. For patients readmitted due to CVD, the timing between admissions (based on the mean number of days between index hospitalization and readmission) and length of stay were further identified. Results: After matching, 300,398 patients were included in the two groups. The composite CVD readmission rates were significantly higher in patients with cancer (5.92% vs 4.10%; odds ratio (OR) 1.47, 95% CI 1.44–1.51, p < 0.001). Patients with cancer were also associated with shorter mean number of days to composite CVD readmission (60.48 days vs 68.32 days, p < 0.001) and longer length of stay of composite CVD readmission (8.21 days vs 7.13 days, p < 0.001). These trends were maintained in analyses of the individual CVD. Conclusions: Hospitalized patients with cancer experienced higher rates of unplanned readmission due to CVD, and their CVD readmissions occurred sooner and required longer lengths of stay compared to patients without cancer. Efforts to reduce unplanned CVD readmissions, such as providing optimized chronic post-discharge care, may improve the health outcomes of patients with cancer. |
| first_indexed | 2024-03-09T01:59:51Z |
| format | Article |
| id | doaj.art-9a9c2d797d1142eeac2cb12acc34c973 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-03-09T01:59:51Z |
| publishDate | 2023-11-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-9a9c2d797d1142eeac2cb12acc34c9732023-12-08T06:09:21ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-11-01241132610.31083/j.rcm2411326S1530-6550(23)01096-7Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United StatesSola Han0Ted J. Sohn1Anton L.V. Avanceña2Chanhyun Park3Health Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USAHealth Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USAHealth Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USAHealth Outcomes Division, College of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USABackground: Cardiovascular disease (CVD) can lead to unplanned care in patients with cancer, which may affect their prognosis and survival. We aimed to compare the rates, timing, and length of stay of unplanned CVD readmission in hospitalized patients with and without cancer. Methods: This study used the 2017–2018 Nationwide Readmissions Database to identify adult hospitalized patients with and without cancer. The primary outcome was 180-day unplanned CVD readmission rates. CVD was defined based on a composite variable that included atrial fibrillation, coronary artery disease, cardiomegaly, cardiomyopathy, heart failure, peripheral artery disease, and stroke. For patients readmitted due to CVD, the timing between admissions (based on the mean number of days between index hospitalization and readmission) and length of stay were further identified. Results: After matching, 300,398 patients were included in the two groups. The composite CVD readmission rates were significantly higher in patients with cancer (5.92% vs 4.10%; odds ratio (OR) 1.47, 95% CI 1.44–1.51, p < 0.001). Patients with cancer were also associated with shorter mean number of days to composite CVD readmission (60.48 days vs 68.32 days, p < 0.001) and longer length of stay of composite CVD readmission (8.21 days vs 7.13 days, p < 0.001). These trends were maintained in analyses of the individual CVD. Conclusions: Hospitalized patients with cancer experienced higher rates of unplanned readmission due to CVD, and their CVD readmissions occurred sooner and required longer lengths of stay compared to patients without cancer. Efforts to reduce unplanned CVD readmissions, such as providing optimized chronic post-discharge care, may improve the health outcomes of patients with cancer.https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411326readmissioncardiovascular diseasecancerlength of stay |
| spellingShingle | Sola Han Ted J. Sohn Anton L.V. Avanceña Chanhyun Park Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States Reviews in Cardiovascular Medicine readmission cardiovascular disease cancer length of stay |
| title | Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States |
| title_full | Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States |
| title_fullStr | Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States |
| title_full_unstemmed | Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States |
| title_short | Rate, Timing, and Duration of Unplanned Readmissions Due to Cardiovascular Diseases among Hospitalized Patients with Cancer in the United States |
| title_sort | rate timing and duration of unplanned readmissions due to cardiovascular diseases among hospitalized patients with cancer in the united states |
| topic | readmission cardiovascular disease cancer length of stay |
| url | https://www.imrpress.com/journal/RCM/24/11/10.31083/j.rcm2411326 |
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