Seasonality and Readmission after Heart Failure, Myocardial Infarction, and Pneumonia

Butala, Neel M.; Secemsky, Eric A.; Wasfy, Jason H.; Kennedy, Kevin F.; Yeh, Robert W.

doi:10.1111/1475-6773.12747

Cited by 8 publications

(5 citation statements)

References 51 publications

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“…The results showed that the cohort had a long history of CAD leading to heart failure which impacted the readmission rates. The rates are in turn comparable to heart failure readmissions in the international literature and higher than readmissions related to CAD ( 12 ). Additionally, heart failure readmission and mortality rates at 12 months were significantly higher among CAD patients when compared to non-CAD patients ( 13 ).…”

Section: Discussionsupporting

confidence: 53%

RETRACTED: Prevalence of coronary artery disease and its risk factors in Majmaah City, Kingdom of Saudi Arabia

Albar

Alahmdi

Almedimigh

et al. 2022

Front. Cardiovasc. Med.

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ObjectiveThis study was carried out with an aim to outline the prevalence of coronary artery diseases, its risk of one region of the Saudi Arabia.MethodsA retrospective observational study conducted across five secondary medical centers located in the city of Majmaah. Hospital medical records and ministry of health records were screened over a 6-month period for data on patients admitted for Coronary artery disease (CAD). Data collected included sociodemographic characteristics, medical profile, and laboratory findings.ResultsA total of 327 participants were included in this study with a median age of 64 and the majority being male participants (59.8%). The majority were married, held a primary school degree and earned a salary for living. A large number (82.9%) were hypertensive and diabetic (66.7%) and one-fourth had a previous MI (25.1%). A large number (73.7%) had heart failure with a mean ejection fraction of 44% (SD = 13). The causes of heart failure were mainly ischemic (56.3%) and hypertensive (28.1%). Readmission rates at 30 and 90 days then at 6 and 12 months were 22, 53.8, 68.8, and 75.8%, respectively. The mortality rates at the same time intervals were 5.5, 8.9, 14.1, and 22.9%, respectively. Predictors of readmission are age, CCI, and NYHA class.ConclusionCoronary artery disease is the leading cause of heart failure. End stage CAD can have similar results in terms of readmission and mortality as heart failure. Future research should target patients in different stages of the condition and monitor their comorbidities which may impact the study findings.

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Section: Discussionsupporting

confidence: 53%

RETRACTED: Prevalence of coronary artery disease and its risk factors in Majmaah City, Kingdom of Saudi Arabia

Albar

Alahmdi

Almedimigh

et al. 2022

Front. Cardiovasc. Med.

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“…Monthly trends in hospitalization rates for heart failure showed a uniform and smooth decline during March to August of 2019 and a smooth but steeper increase during August to December of 2019. Such seasonal variations have been observed in other studies as well, which have reported increasing admissions during winter months and decreasing admissions during summer months [18][19][20]. Though we observed these seasonal variations in 2020 as well, the decline in hospitalization rates observed during April to July 2020 were much steeper compared to the decrease in 2019.…”

Section: Discussionsupporting

confidence: 80%

Trends and Outcomes of Heart Failure Hospitalizations during COVID-19 Pandemic

Rubens,

Ramamoorthy,

Saxena

et al. 2024

Preprint

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Background COVID-19 has affected many hospitalizations. In this study, we intended to understand the effects of COVID-19 pandemic on heart failure hospitalizations in the state of California. Method This study was a retrospective analysis of California State Inpatient Database during March to December of 2019 and 2020. Adult hospitalizations with heart failure were included for the analysis. Main outcome variables were in-hospital mortality, mechanical ventilation, mechanical circulatory support, vasopressor use, and acute respiratory distress syndrome (ARDS). Results There were 450,771 (53.7%) heart failure hospitalizations during March to December of 2019, compared to 388,795 (46.3%) during March to December of 2020 (relative decrease, 13.7%). Heart failure hospitalization rates were lower during 2020, compared to 2019. Comparison of adverse hospital outcomes across the two-time frames showed that in-hospital mortality (2.9% versus 2.7%, P = 0.003), mechanical circulatory support (0.7% versus 0.5%. P < 0.001), vasopressor use (1.3% versus 1.0%, P < 0.001), and ARDS (0.1% versus 0.06%, P = 0.007) were significantly higher among hospitalizations in 2020. Regression analysis showed that the odds of in-hospital mortality (OR, 1.09; 95% CI, 1.06–1.11), mechanical ventilation (OR, 1.07; 95% CI, 1.05–1.09), vasopressor use (OR, 1.07; 95% CI, 1.04–1.10), and ARDS (OR, 1.74; 95% CI, 1.58–1.91) were significantly higher among heart failure hospitalizations in 2020. Conclusions Our study found that patients with heart failure hospitalized during the COVID-19 pandemic had greater in-hospital adverse events such as greater in-hospital mortality, mechanical ventilation use, vasopressor use, and ARDS. These findings warrant that heart failure required prompt hospitalization and treatment irrespective of restrictive mandates during COVID-19 pandemic.

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“…Acute health conditions and hospitalizations can vary by season (Butala et al, 2018) and healthcare policies can change from one year to the next. Analysis explored the best approach to control for when the hospitalization occurred and separate categorical variables for the quarter and year were most appropriate.…”

Section: Control Variablesmentioning

confidence: 99%

Examining Factors Associated with Utilization of Chaplains in the Acute Care Setting

et al. 2021

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Hospitalized persons want their spiritual needs addressed and discussed by the healthcare team, but medical providers and nurses lack the necessary training. Patients want chaplaincy care, but very few receive it, and little is known about utilization factors. To identify the population characteristics associated with the utilization of chaplaincy services, hospitalization data from March 2012 to July 2017 were analyzed (N = 15,242 patients). Religiously affiliated individuals and those with the most acute health needs were more likely to receive chaplaincy care and received more total care. Patient-centered healthcare models may need to evaluate strategic integration of spiritual care beyond reactive spiritual care provision.

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Seasonality and Readmission after Heart Failure, Myocardial Infarction, and Pneumonia

Abstract: Given marked seasonality in incidence and mortality of HF, MI, and pneumonia, the modest seasonality in readmissions suggests that readmissions may be more related to non-seasonally dependent factors than to the seasonal nature of these diseases.

Cited by 8 publications

References 51 publications

RETRACTED: Prevalence of coronary artery disease and its risk factors in Majmaah City, Kingdom of Saudi Arabia

RETRACTED: Prevalence of coronary artery disease and its risk factors in Majmaah City, Kingdom of Saudi Arabia

Trends and Outcomes of Heart Failure Hospitalizations during COVID-19 Pandemic

Examining Factors Associated with Utilization of Chaplains in the Acute Care Setting

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