TY - JOUR
T1 - Clinical factors associated with early readmission among acutely decompensated heart failure patients
AU - Pierre-Louis, Bredy
AU - Rodriques, Shareen
AU - Gorospe, Vanessa
AU - Guddati, Achuta K.
AU - Aronow, Wilbert S.
AU - Ahn, Chul
AU - Wright, Maurice
N1 - Publisher Copyright:
Copyright © 2016 Termedia & Banach.
PY - 2016
Y1 - 2016
N2 - Introduction: Congestive heart failure (CHF) is a common cause of hospital readmission. Material and methods: A retrospective study was conducted at Harlem Hospital in New York City. Data were collected for 685 consecutive adult patients admitted for decompensated CHF from March, 2009 to December, 2012. Variables including patient demographics, comorbidities, laboratory studies, and medical therapy were compared between CHF patient admissions resulting in early CHF readmission and not resulting in early CHF readmission. Results: Clinical factors found to be independently significant for early CHF readmission included chronic obstructive pulmonary disease (odds ratio (OR) = 6.4), HIV infection (OR = 3.4), African-American ethnicity (OR = 2.2), systolic heart failure (OR = 1.9), atrial fibrillation (OR = 2.3), renal disease with glomerular filtration rate > 30 ml/min (OR = 2.7), evidence of substance abuse (OR = 1.7), and absence of angiotensin-converting enzyme inhibitors or angiotensin receptor blocker therapy after discharge (OR = 1.8). The ORs were used to develop a scoring system regarding the risk for early readmission. Conclusions: Identifying patients with clinical factors associated with early CHF readmission after an index hospitalization for CHF using the proposed scoring system would allow for an early CHF readmission risk stratification protocol to target particularly high-risk patients.
AB - Introduction: Congestive heart failure (CHF) is a common cause of hospital readmission. Material and methods: A retrospective study was conducted at Harlem Hospital in New York City. Data were collected for 685 consecutive adult patients admitted for decompensated CHF from March, 2009 to December, 2012. Variables including patient demographics, comorbidities, laboratory studies, and medical therapy were compared between CHF patient admissions resulting in early CHF readmission and not resulting in early CHF readmission. Results: Clinical factors found to be independently significant for early CHF readmission included chronic obstructive pulmonary disease (odds ratio (OR) = 6.4), HIV infection (OR = 3.4), African-American ethnicity (OR = 2.2), systolic heart failure (OR = 1.9), atrial fibrillation (OR = 2.3), renal disease with glomerular filtration rate > 30 ml/min (OR = 2.7), evidence of substance abuse (OR = 1.7), and absence of angiotensin-converting enzyme inhibitors or angiotensin receptor blocker therapy after discharge (OR = 1.8). The ORs were used to develop a scoring system regarding the risk for early readmission. Conclusions: Identifying patients with clinical factors associated with early CHF readmission after an index hospitalization for CHF using the proposed scoring system would allow for an early CHF readmission risk stratification protocol to target particularly high-risk patients.
KW - Congestive heart failure
KW - Heart failure readmission
KW - Risk factors
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U2 - 10.5114/aoms.2016.59927
DO - 10.5114/aoms.2016.59927
M3 - Article
C2 - 27279845
AN - SCOPUS:84973443312
SN - 1734-1922
VL - 12
SP - 538
EP - 545
JO - Archives of Medical Science
JF - Archives of Medical Science
IS - 3
ER -