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ID: 8: 30-DAY READMISSION RATE OF PATIENTS UNDERGOING CORONARY CARDIAC CATHETERIZATION IN THE AMBULATORY VERSUS IN-HOSPITAL SETTING
  1. H Alkhawam1,
  2. R Sogomonian1,
  3. N Vyas1,
  4. J Sayanlar2,
  5. D Rubinstein2,
  6. M Kabach3
  1. 1Internal Medicine, Icahn School of Medicine at Mount Sinai (Elmhurst), Corona, New York, United States
  2. 2Cardiology, Icahn School of Medicine at Mount Sinai (Elmhurst), New York, New York, United States
  3. 3University of Miami Miller School of Medicine, West Palm beach, Florida, United States

Abstract

Background Cardiac Catheterizationis increasingly performed in an outpatient setting. No study has been large enough to detect differences in the major complication rate which occur infrequently in whichever setting, and there is considerable variation between studies in the incidence of minor complications after outpatient procedures.

Objective To investigate the 30-days readmission rate of ambulatory and in-hospital coronary cardiac Catheterization.

Method A retrospective study of 9053 patients who had coronary cardiac angiography between 2005 and 2014. We divided the patients in to two groups, patients who had cardiac Catheterizationin ambulatory setting versus in-hospital setting.

Results Of 9053 patients, 5998 (66%) patients had in-hospital cardiac Catheterizationand 3,055 (34%) had ambulatory cardiac catheterization. Patients who had ambulatory coronary cardiac Catheterizationhad a higher 30-days readmission rate comparing to in-hospital setting (Odd ratio: 3.2, 95% CI: 2.8–3.7, p<0.0001).

Gender analysis, 27% of males who had ambulatory coronary cardiac Catheterizationreadmitted within 30-days of discharge versus 12% of females (OR: 2.4, 95% CI: 2–2.9, p<0.0001). Among in-hospital setting, no statistically significant between males and females (p=0.6).

Conclusion Our study showed that ambulatory coronary cardiac Catheterization associated with a higher 30-days readmission rate comparing to in-hospital setting. Furthermore, males who had ambulatory cardiac Catheterization seem to have more 30-days readmission rate.

  • Abdomen

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