Unplanned Readmission Rate After Percutaneous Coronary Intervention at Hanoi Medical University Hospital

Ngo Ha My, Nguyen Thi Son, Trinh Thi Thanh Tuyen

Main Article Content

Abstract

Percutaneous Coronary Intervention (PCI) is an effective treatment for coronary artery disease, helping to improve symptoms and reduce cardiovascular complications. However, unplanned readmission after PCI remains a clinical challenge and reflects the quality of patient care. This retrospective study analyzed 341 medical records of patients who underwent PCI at the Cardiovascular Center, Hanoi Medical University Hospital, during the last six months of 2024. Data were processed using SPSS 20.0 with descriptive statistics and comparative tests. Results showed that the overall readmission rate was 14.4%, of which 61.2% were unplanned (8.7% of all patients). Most readmissions occurred between 8 and 90 days after discharge, mainly due to cardiovascular symptoms (55.1%), particularly recurrent angina and systemic internal diseases. Factors associated with unplanned readmission included dyslipidemia and the diagnosis of acute coronary syndrome. The study highlights the importance of close post- discharge follow-up, strict control of risk factors, and enhanced patient education to reduce unplanned readmissions after PCI.

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References

1. Tổng quan bệnh động mạch vành - Rối loạn tim mạch. Cẩm nang MSD - Phiên bản dành cho chuyên gia. Accessed November 19, 2024. https://www.msdmanuals.com/vi/professional/rối-loạn-tim-mạch/bệnh-động-mạch- vành/tổng-quan-bệnh-động-mạch-vành.
2. Cardiovascular diseases. Accessed December 9, 2024. https://www.who.int/europe/news- room/fact-sheets/item/cardiovascular-diseases.
3. Hà NTT, Bình LT, Linh NTN, et al. Kết quả chăm sóc điều trị người bệnh sau can thiệp động mạch vành và một số yếu tố liên quan tại Bệnh viện Bạch Mai năm 2020 - 2021. Tạp chí Tim mạch học Việt Nam. 2022; (101): 53-61.
4. Kwok CS, Narain A, Pacha HM, et al. Readmissions to Hospital After Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis of Factors Associated with Readmissions. Cardiovascular Revascularization Medicine. 2020; 21(3): 375-391. doi:10.1016/j.carrev.2019.05.016.
5. Kwok CS, Shah B, Al -Suwaidi Jassim, et al. Timing and Causes of Unplanned Readmissions After Percutaneous Coronary Intervention. JACC: Cardiovascular Interventions. 2019; 12(8): 734-748. doi:10.1016/j.jcin.2019.02.007.
6. Gao Z, Chen Z, Sun A, Deng X. Gender differences in cardiovascular disease. Medicine in Novel Technology and Devices. 2019; 4: 100025. doi:10.1016/j.medntd.2019.100025.
7. Trịnh Thị Thanh Tuyền, Nguyễn Thị Minh Lý, Bùi Văn Nhơn, Nguyễn Thị Đoài. Thực trạng lo âu ở người bệnh sau can thiệp động mạch vành 24 giờ tại Bệnh viện Đại học Y Hà Nội. Tạp chí Khoa học Điều dưỡng. 2023; 6(05): 97-103. doi:10.54436/jns.2023.05.719.
8. Kosmidou I, Shahim B, Dressler O, et al. Incidence, Predictors, and Impact of Hospital Readmission After Revascularization for Left Main Coronary Disease. J Am Coll Cardiol. 2024; 83(11): 1073-1081. doi:10.1016/j.jacc.2024.01.012.
9. Jha A, Patel P, Krishnan AM, et al. Burden and predictors of thirty-day readmission in patients with NSTEMI: a retrospective analysis of the 2020 NRD database. Coron Artery Dis. 2025; 36(1): 45-50. doi:10.1097/MCA.0000000000001419.
10. Biswas S, Dinh D, Lucas M, et al. Incidence, causes and predictors of unplanned hospital readmission after percutaneous coronary intervention. European Heart Journal. 2020; 41(Supplement_2): ehaa946.3527. doi:10.1093/ehjci/ehaa946.3527.
11. Mau Thi Nguyen, Ali A, Linh Ngo, Ellis C, Psaltis PJ, Ranasinghe I. Thirty-Day Unplanned Readmissions Following Elective and Acute Percutaneous Coronary Intervention. Heart Lung Circ. 2023;32(5):619-628. doi:10.1016/j.hlc.2023.02.013
12. Kwok CS, Chatterjee S, Bagur R, et al. Multiple unplanned readmissions after discharge for an admission with percutaneous coronary intervention. Catheter Cardiovasc Interv. 2021; 97(3): 395-408. doi:10.1002/ccd.28797.
13. Sykes R, Mohamed MO, Kwok CS, Mamas MA, Berry C. Percutaneous coronary intervention and 30-day unplanned readmission with chest pain in the United States (Nationwide Readmissions Database). Clin Cardiol. 2021; 44(3): 291-306. doi:10.1002/clc.23543.