دورية أكاديمية
Predictors of readmission in hospitalized heart failure patients.
| العنوان: | Predictors of readmission in hospitalized heart failure patients. |
|---|---|
| المؤلفون: | Naderi, Nasim, Chenaghlou, Maryam, Mirtajaddini, Marzieh, Norouzi, Zeinab, Mohammadi, Nasibeh, Amin, Ahmad, Taghavi, Sepideh, Pasha, Hamidreza, Golpira, Reza |
| المصدر: | Journal of Cardiovascular & Thoracic Research; 2022, Vol. 14 Issue 1, p11-17, 7p |
| مصطلحات موضوعية: | PATIENT readmissions, ACQUISITION of data, HOSPITAL care, DESCRIPTIVE statistics, MEDICAL records, HEART failure |
| مستخلص: | Introduction: Heart failure (HF) related hospitalization constitutes a significant proportion of healthcare cost. Unchanging rates of readmission during recent years, shows the importance of addressing this problem. Methods: Patients admitted with heart failure diagnosis in our institution during April 2018 to August 2018 were selected. Clinical, para-clinical and imaging data were recorded. All included patients were followed up for 6 months. The primary endpoints of the study were prevalence of early readmission and the predictors of that. Secondary end points were in hospital and 6-month post-discharge mortality rate and late readmission rate. Results: After excluding 94 patients due to missing data, 428 patients were selected. Mean age of patients was 58.5 years ( ± 17.4) and 61% of patients were male. During follow-up, 99 patients (24%) were readmitted. Early re-admission (30-day) occurred in 27 of the patients (6.6%). The predictors of readmission were older age (P = 0.006), lower LVEF (P < 0.0001), higher body weight (P = 0.01), ICD/CRT implantation (P = 0.001), Lower sodium (P = 0.01), higher Pro-BNP (P = 0.01), Higher WBC count (P = 0.01) and higher BUN level (P = 0.02). Independent predictors of early readmission were history of device implantation (P = 0.007), lower LVEF (P = 0.016), QRS duration more than 120 ms (P = 0.037), higher levels of BUN (P = 0.008), higher levels of Pro-BNP (P = 0.037) and higher levels of uric acid (P = 0.035). Secondary end points including in-hospital and 6-month post-discharge mortality occurred in 11% and 14.4% of patients respectively. Conclusion: Lower age of our heart failure patients and high prevalence of ischemic cardiomyopathy, necessitate focusing on more preventable factors related to heart failure. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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