Short and medium-term outcomes in individuals hospitalized with acute myocardial infarction and multiple chronic conditions: The Worcester heart attack study Article Swipe
Christopher Zammitti
,
Mayra Tisminetzky
,
Jordy Mehawej
,
Hawa O. Abu
,
Ruben Miozzo
,
Joel M. Gore
,
Darleen Lessard
,
Benita A. Bamgbade
,
Jorge Yarzebski
,
Jerry H. Gurwitz
,
Robert J. Goldberg
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/26335565241242279
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/26335565241242279
Background Multiple chronic conditions (MCCs) are common in patients hospitalized with acute myocardial infarction (AMI). We examined the association of 12 MCCs with the risk of a 30-day hospital readmission and/or dying within one year among those discharged from the hospital after an AMI. We also examined the five most prevalent pairs of chronic conditions in this population and their association with the principal study endpoints. Methods The study population consisted of 3,294 adults hospitalized with a confirmed AMI at the three major medical centers in central Massachusetts on an approximate biennial basis between 2005 and 2015. Patients were categorized as ≤1, 2-3, and ≥4 chronic conditions. Results The median age of the study population was 67.9 years, 41.6% were women, and 15% had ≤1, 32% had 2-3, and 53% had ≥4 chronic conditions. Patients with ≥4 conditions tended to be older, had a longer hospital stay, and received fewer cardiac interventional procedures. There was an increased risk for being rehospitalized during the subsequent 30 days according to the presence of MCCs, with the highest risk for those with ≥4 conditions. There was an increased, but attenuated, risk for dying during the next year according to the presence of MCCs. Individuals with diabetes/hypertension and those with heart failure/chronic kidney disease were at particularly high risk for developing the principal study outcomes. Conclusion Development of guidelines that include complex patients, particularly those with MCCs and those at high risk for adverse short/medium term outcomes, remain needed to inform best treatment practices.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/26335565241242279
- https://journals.sagepub.com/doi/pdf/10.1177/26335565241242279
- OA Status
- diamond
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4393241255
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4393241255Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/26335565241242279Digital Object Identifier
- Title
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Short and medium-term outcomes in individuals hospitalized with acute myocardial infarction and multiple chronic conditions: The Worcester heart attack studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-01-01Full publication date if available
- Authors
-
Christopher Zammitti, Mayra Tisminetzky, Jordy Mehawej, Hawa O. Abu, Ruben Miozzo, Joel M. Gore, Darleen Lessard, Benita A. Bamgbade, Jorge Yarzebski, Jerry H. Gurwitz, Robert J. GoldbergList of authors in order
- Landing page
-
https://doi.org/10.1177/26335565241242279Publisher landing page
- PDF URL
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https://journals.sagepub.com/doi/pdf/10.1177/26335565241242279Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://journals.sagepub.com/doi/pdf/10.1177/26335565241242279Direct OA link when available
- Concepts
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Medicine, Myocardial infarction, Kidney disease, Diabetes mellitus, Population, Heart failure, Emergency medicine, Internal medicine, Intensive care medicine, Environmental health, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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