A-48 | Thirty-Day Readmission Rates, Predicators, and Causes of Readmission of Acute Coronary Syndrome Patients With Co-Diagnosis of Chronic Kidney Disease who Underwent Left Heart Catheterization During Index Admission: National Readmission Database of 2018

Left heart catheterization (LHC) for acute coronary syndrome (ACS) is a widely performed procedure. This challenging to some extent in patients with chronic kidney disease (CKD) especially after receiving intravenous (IV) contrast. We aimed analyze the rates, predictors and causes of readmission LHC ACS co-morbid CKD. The National Readmission Database 2018 was queried identify hospitalized adults co-diagnosis CKD who received IV contrast during exclusion elective traumatic admissions. Multivariate logistic linear regression analysis were used adjust possible confounders. A total 78,168 hospitalizations underwent 73,603 discharged alive. Within 30-days from discharge, 12,632 (17.2%) readmitted. Congestive failure (CHF) stage 1-4 (15.5%), non-ST segment elevation myocardial infarction (7.7%), Sepsis (4.6%) most common readmissions. Independent included female sex (aOR 1.16, 95% CI: 1.09 - 1.24, P<0.001), discharge against medical advice 1.70, 1.23-2.35, CHF 1.45, 1.35-1.56, P<0.001). Figure 1 shows Forrest plot multivariate independent factors associated Predictors sex, skilled facility or advice, anemia, hemodialysis, diabetes mellitus, CHF, injury, COPD. Modifiable need be addressed prevent such high rate