Abstract
Predictors of Post-Discharge 30-Day Hospital Readmission in Decompensated Heart Failure Patients
Highlights
Heart failure (HF) is a chronic disease associated with high morbidity and mortality and is known worldwide as a public health issue due to its significantly increased incidence, especially amongst the elderly population
The objective of this study is to calculate hospital readmission rate within 30 days of discharge, as well as to identify the main predictors of re-hospitalization of patients with acute decompensated heart failure (ADHF), in order to assist the development of public health policies, with positive impact on the reduction of morbimortality among those patients
This study contributed to the comprehension of the dynamics of hospital readmission of patients with HF, which has become more prevalent among the population, due to increase of population and life expectancy
Summary
Heart failure (HF) is a chronic disease associated with high morbidity and mortality and is known worldwide as a public health issue due to its significantly increased incidence, especially amongst the elderly population. According to North American data, HF affects around 5.5 million patients It presents an incidence of 660,000 new cases, with 800,000 to 3.6 million hospitalizations, 300,000 deaths per year and related costs of around 35 billion dollars, being the fifth most frequent cause of hospitalization and the most common amongst the elderly.[2]. Objective: To quantify the readmission rate and identify the predictors of rehospitalization in patients with acute decompensated heart failure. Conclusions: Among hospitalized patients with acute decompensated heart failure, the rate of readmission was high. Hyponatremia, reduced ejection fraction and ACS as causes of decompensation were robust markers for the prediction of hospital readmission within 30 days of discharge. Hyponatremia, reduced ejection fraction and ACS as causes of decompensation were robust markers for the prediction of hospital readmission within 30 days of discharge. (Int J Cardiovasc Sci. 2020; 33(2):175-184) Keywords: Heart Failure; Hospitalization; Patient Readmission; Patient Discharge/trends
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