Dataset Information

Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients - An observational study.

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. 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.

SUBMITTER: Davidge J

PROVIDER: S-EPMC9971266 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients - An observational study.

Davidge Jason J Halling Anders A Ashfaq Awais A Etminani Kobra K Agvall Björn B

International journal of cardiology. Cardiovascular risk and prevention 20230210

<h4>Background</h4>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.<h4>Method</h4>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 Informa ...[more]

PMID: 36865412

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Dataset Information

Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients - An observational study.

Background

Method

Results

Conclusions

Publications

Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients - An observational study.

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