Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients – An observational study
(2023) In International Journal of Cardiology: Cardiovascular Risk and Prevention 16.- Abstract
Background: After a heart failure (HF) hospital discharge, the risk of a cardiovascular (CV) related event is highest in the following 100 days. It is important to identify factors associated with increased risk of readmission. Method: This retrospective, population-based study examined HF patients in Region Halland (RH), Sweden, hospitalized with a HF diagnosis between 2017 and 2019. Data regarding patient clinical characteristics were retrieved from the Regional healthcare Information Platform from admission until 100 days post-discharge. Primary outcome was readmission due to a CV related event within 100 days. Results: There were 5029 included patients being admitted for HF and discharged and 1966 (39%) were newly diagnosed.... (More)
Background: After a heart failure (HF) hospital discharge, the risk of a cardiovascular (CV) related event is highest in the following 100 days. It is important to identify factors associated with increased risk of readmission. Method: This retrospective, population-based study examined HF patients in Region Halland (RH), Sweden, hospitalized with a HF diagnosis between 2017 and 2019. Data regarding patient clinical characteristics were retrieved from the Regional healthcare Information Platform from admission until 100 days post-discharge. Primary outcome was readmission due to a CV related event within 100 days. Results: There were 5029 included patients being admitted for HF and discharged and 1966 (39%) were newly diagnosed. Echocardiography was available for 3034 (60%) patients and 1644 (33%) had their first echocardiography while admitted. The distribution of HF-phenotypes was 33% HF with reduced ejection fraction (EF), 29% HF with mildly reduced EF and 38% HF with preserved EF. Within 100 days, 1586 (33%) patients were readmitted, and 614 (12%) died. A Cox regression model showed that advanced age, longer hospital length of stay, renal impairment, high heart rate and elevated NT-proBNP were associated with an increased risk of readmission regardless of HF-phenotype. Women and increased blood pressure are associated with a reduced risk of readmission. Conclusions: One third had a CV-readmission within 100 days. This study found clinical factors already present at discharge that are associated with increased risk of readmission which should be considered at discharge.
(Less)
- author
- Davidge, Jason LU ; Halling, Anders LU ; Ashfaq, Awais ; Etminani, Kobra and Agvall, Björn
- organization
- publishing date
- 2023-03
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Heart failure, Hospital readmission, Risk factors
- in
- International Journal of Cardiology: Cardiovascular Risk and Prevention
- volume
- 16
- article number
- 200176
- publisher
- Elsevier
- external identifiers
-
- scopus:85148749401
- pmid:36865412
- ISSN
- 2772-4875
- DOI
- 10.1016/j.ijcrp.2023.200176
- language
- English
- LU publication?
- yes
- id
- 0754a4c3-469a-4d6d-ba5c-38a4eeb85bb3
- date added to LUP
- 2023-03-15 11:05:23
- date last changed
- 2024-09-18 17:34:44
@article{0754a4c3-469a-4d6d-ba5c-38a4eeb85bb3, abstract = {{<p>Background: After a heart failure (HF) hospital discharge, the risk of a cardiovascular (CV) related event is highest in the following 100 days. It is important to identify factors associated with increased risk of readmission. Method: This retrospective, population-based study examined HF patients in Region Halland (RH), Sweden, hospitalized with a HF diagnosis between 2017 and 2019. Data regarding patient clinical characteristics were retrieved from the Regional healthcare Information Platform from admission until 100 days post-discharge. Primary outcome was readmission due to a CV related event within 100 days. Results: There were 5029 included patients being admitted for HF and discharged and 1966 (39%) were newly diagnosed. Echocardiography was available for 3034 (60%) patients and 1644 (33%) had their first echocardiography while admitted. The distribution of HF-phenotypes was 33% HF with reduced ejection fraction (EF), 29% HF with mildly reduced EF and 38% HF with preserved EF. Within 100 days, 1586 (33%) patients were readmitted, and 614 (12%) died. A Cox regression model showed that advanced age, longer hospital length of stay, renal impairment, high heart rate and elevated NT-proBNP were associated with an increased risk of readmission regardless of HF-phenotype. Women and increased blood pressure are associated with a reduced risk of readmission. Conclusions: One third had a CV-readmission within 100 days. This study found clinical factors already present at discharge that are associated with increased risk of readmission which should be considered at discharge.</p>}}, author = {{Davidge, Jason and Halling, Anders and Ashfaq, Awais and Etminani, Kobra and Agvall, Björn}}, issn = {{2772-4875}}, keywords = {{Heart failure; Hospital readmission; Risk factors}}, language = {{eng}}, publisher = {{Elsevier}}, series = {{International Journal of Cardiology: Cardiovascular Risk and Prevention}}, title = {{Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients – An observational study}}, url = {{http://dx.doi.org/10.1016/j.ijcrp.2023.200176}}, doi = {{10.1016/j.ijcrp.2023.200176}}, volume = {{16}}, year = {{2023}}, }