Factors affecting hospital readmission rates following an acute coronary syndrome: A systematic review

Abstract

Aim To synthesise quantitative evidence on factors that impact hospital readmission rates following ACS with comorbidities. Design Systematic review and narrative synthesis. Data sources A search of eight electronic databases, including Embase, Medline, PsycINFO, Web of Science, CINAHL, Cochrane Library, Scopus and the Joanna Briggs Institute (JBI). Review methods The search strategy included keywords and MeSH terms to identify English language studies published between 2001 and 2020. The quality of included studies was assessed by two independent reviewers, using Joanna Briggs Institute (JBI) critical appraisal tools. Results Twenty‐four articles were included in the review. All cause 30‐day readmission rate was most frequently reported and ranged from 4.2% to 81%. Reported factors that were associated with readmission varied across studies from socio‐demographic, behavioural factors, comorbidity factors and cardiac factors. Findings from some of the studies were limited by data source, study designs and small sample size. Conclusion Strategies that integrate comprehensive discharge planning and individualised care planning to enhance behavioural support are related to a reduction in readmission rates. It is recommended that nurses are supported to influence discharge planning and lead the development of nurse‐led interventions to ensure discharge planning is both coordinated and person‐centred.

Ventricular Tachycardia and Hospital Readmission in Patients Discharged From the Hospital After an Acute Myocardial Infarction

“… 15 Other factors, including advanced age, low income, and the in-hospital complications of atrial fibrillation, heart failure, and recurrent chest pain, have also been associated with a higher readmission rate. 23 …”

A nomogram for predicting the readmission within 6 months after treatment in patients with acute coronary syndrome

“…Early readmission after ACS is associated with poor patient outcomes,which would increase the mortality [3]. Besides, Readmission increases the time, energy, and economic burden of patients and their families and leads to adverse consequences such as shortage of department beds, increased medical service costs, and decreased efficiency of medical resource utilization [4]. Therefore, identifying modifiable factors associated with ACS readmission could help provide preventive interventions that improve outcomes and save healthcare costs.…”