Prior hospital admission predicts thirty-day hospital readmission for heart failure patients

McLaren, Donald P.; Jones, Roy; Plotnik, Ronald D.; Zaręba, Wojciech; McIntosh, Scott; Alexis, Jeffrey D.; Chen, Leway; Block, Robert C.; Lowenstein, Charles J.; Kutyifa, Valentina

doi:10.5603/cj.a2016.0005

Cited by 17 publications

(14 citation statements)

References 14 publications

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“…It is not surprising that our study did not find any significant relationship between higher diuretic dosing and 30-day readmissions or in-hospital mortality. Factors associated with readmissions vary across studies ( 16 - 21 ), but previous admission(s) ( 19 - 21 ) and history of cerebrovascular disease ( 21 ) have been identified as risk factors for readmissions as was found in our study. On the other hand, available data are conflicting for the relationship between high diuretic dosing and increased mortality ( 22 , 23 ).…”

Section: Discussionsupporting

confidence: 62%

Higher diuretic dose within the first 72 hours is predictive of longer length of stay in patients with acute heart failure

Kato¹

2018

Anatol J Cardiol

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Objective:High-dose diuretic strategies during the first 72 h of hospitalization have been shown to improve symptom resolution in patients with acute heart failure with decreased ejection fraction; however, they have not been shown to decrease length of stay (LOS). This study aimed to examine a possible relationship between higher diuretic dosing in the first 72 h of hospitalization and longer LOS in such patients.Methods:In this retrospective study, we included 333 consecutive patients hospitalized for acute heart failure with decreased or preserved ejection fraction between July 2014 and June 2015 in an urban academic medical center. Multiple regression models with stepwise selection were used for data analysis. We also performed mediation analysis to assess the relationships between diuretic dose, worsening renal function (WRF) during the hospitalization, and LOS.Results:In the multiple regression analysis, higher diuretic dosing in the first 72 h independently predicted longer LOS [β=0.42, 95% CI (0.27, 0.56), p<0.001] after adjustments for baseline characteristics, disease severity, and comorbidities. In the mediation analysis, higher diuretic dosing remained a significant predictor for longer LOS even after controlling for the mediator WRF [β=0.39, 95% CI (0.26, 0.53), p<0.001]. WRF had a weak mediation effect on the relationship between higher diuretic dosing and longer LOS [indirect effect of higher diuretic dosing on longer LOS: 0.07, 95% CI (0.02, 0.14)].Conclusion:Higher diuretic dosing in the first 72 h of hospitalization was an independent predictor for longer LOS.

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Section: Discussionsupporting

confidence: 62%

Higher diuretic dose within the first 72 hours is predictive of longer length of stay in patients with acute heart failure

Kato¹

2018

Anatol J Cardiol

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“…In the United States, an estimated 5.7 million people have heart failure, and the annual cost for treatment of heart failure has been estimated to be over 32 billion US dollars [3]. In addition, heart failure is a common cause of unplanned hospital admissions and readmissions [4]. About half of the patients with heart failure were readmitted to a hospital within 6 months of discharge [5].…”

Section: Introductionmentioning

confidence: 99%

Negative affectivity and social inhibition are associated with increased cardiac readmission in patients with heart failure: A preliminary observation study

et al. 2019

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Background Type D personality was hypothesized to influence clinical and patient-centered outcomes patients with heart failure. The aim of this study was to investigate the association between negative affectivity and social inhibition components of Type D personality and cardiac readmission in patients with heart failure. Methods A prospective observational study design was used. A total of 222 patients with heart failure were recruited from the department of cardiology in two regional hospitals in Taiwan. The 14-item Type D Scale-Taiwanese version was used to assess negative affectivity and social inhibition of the patients. Logistic regression analyses were conducted to determine the association of both Z-score transformed and dichotomized negative affectivity and social inhibition with 6-month and 18-month cardiac readmissions. Results A total of 55 patients (24.8%) and 89 patients (40.1%) had cardiac readmissions within 6 months and 18 months, respectively. Multiple logistic regression analyses of Z-score transformed negative affectivity and social inhibition were significantly associated with (1) 6-month cardiac readmission with odds ratios of 1.62 (P = 0.003) and 1.48 (P = 0.014), respectively and (2) 18-month cardiac readmission with odds ratios of 1.45 (P = 0.013) and 1.38 (P = 0.031), respectively. Similar findings were obtained when negative affectivity and social inhibition were analyzed as dichotomized scores. Conclusions Negative affectivity and social inhibition components of the Type D personality were significantly associated with a higher risk of cardiac readmission in both 6 months and 18 months after the initial hospitalization in patients with heart failure.

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“…One of the most difficult challenges in the treatment of patients with CHF are recurrent exacerbations of this disease. Prior hospitalization is one of the important risk factors predicting subsequent episodes of CHF decompensation [10]. The relationship between BP and risk for CHF decompensation has not been clearly established.…”

Section: Introductionmentioning

confidence: 99%

Prognostic value of daytime heart rate, blood pressure, their products and quotients in chronic heart failure

2019

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Prior hospital admission predicts thirty-day hospital readmission for heart failure patients

Abstract: (Cardiol J 2016; 23, 2: 155-162)

Cited by 17 publications

References 14 publications

Higher diuretic dose within the first 72 hours is predictive of longer length of stay in patients with acute heart failure

Higher diuretic dose within the first 72 hours is predictive of longer length of stay in patients with acute heart failure

Negative affectivity and social inhibition are associated with increased cardiac readmission in patients with heart failure: A preliminary observation study

Prognostic value of daytime heart rate, blood pressure, their products and quotients in chronic heart failure

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