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Cardiovascular outcomes and rehospitalization rates in homeless patients admitted with acute myocardial infarction

Mayo Clinic Proceedings Mar 23, 2020

Balla S, et al. - Researchers distinguished adult patients (>18 years of age) who were admitted with acute myocardial infarction (AMI) between January 1, 2015, and December 31, 2016, in the National Readmission Database to study the in-hospital outcomes and 30-day readmission data. Individuals were categorized into homeless or non-homeless. They compared baseline characteristics, rates of invasive assessment and revascularization, mortality, 30-day readmission rates, and reasons for readmission between the 2 cohorts. In this study, a sum of 3,938 of 1,100,241 (0.4%) index hospitalizations for AMI included homeless individuals. Compared with non-homeless cohort with AMI, they study found considerable differences in cardiovascular risk profile, in-hospital care, and rehospitalization rates in the homeless. There are requirement of measures to remove the health care barriers and disparities.

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