Unplanned Rehospitalizations and Depression: Time for a New Approach?
In this issue of Circulation, Hess et al. characterize the rates, hospital variability, and patient-related risk factors for unplanned inpatient or observation rehospitalizations among all-aged patients within 30 days of discharge following an acute myocardial infarction (MI).1 Using data from the Treatment with Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome (TRANSLATE-ACS) Trial, Hess et al report that approximately 10% of all-aged patients with acute MI treated with PCI had at least one unplanned rehospitalization within 30 days of discharge, and these observed rates varied widely across hospitals. Consistent with prior studies,2,3 the authors find that older, female, black, and more medically complex individuals were at increased risk of having an unplanned rehospitalization. Further, beyond these typical risk factors, reporting a poor quality of life and screening positive for depression were the most powerful predictors of being rehospitalized.
- Received December 14, 2015.
- Accepted December 15, 2015.