Hospital readmissions of patients with heart failure from real world: Timing and associated risk factors
ESC Heart Failure Mar 13, 2021
Wideqvist M, Cui X, Magnusson C, et al. - Researchers aimed at determining hospital readmissions and timing, as well as risk factors in a real world heart failure (HF) population. They included a total of 448 patients who were discharged alive in 2016 from Sahlgrenska University Hospital/Östra, Gothenburg, Sweden, with a primary diagnosis of HF. Of these patients, 273 patients (mean age 78 ± 11.8 years) were readmitted for any cause within 1 year (readmission rate of 60.9%), and 175 patients (mean age 76.6 ± 13.7) were never readmitted. The first quarter after index hospitalization had 60.1% of these readmissions, giving a 3 month all‐cause readmission rate of 36.6%. HF‐related 1 year readmission rate of 38.4% was recorded. Significantly more renal dysfunction (52.4% vs 36.6%), pulmonary disease (25.6% vs 15.4%), and psychiatric illness (24.9% vs 12.0%) were recorded in patients who were readmitted. Significant correlation was observed between the number of co‐morbidities and readmissions. Sixty-three percent of all‐cause readmissions were because of worsening HF. An independent risk factor for 1 month and 1 year all‐cause readmissions was psychiatric disease. An independent risk factor for 1 month and 1 year HF readmission was poor compliance to medication.
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