Factors related to early readmissions after acute heart failure: a nested case–control study

BMC Cardiovascular Disorders

Research

Nekane Murga¹  Ainara Lozano-Bahamonde¹  Ibon Rodriguez²  Josefina Orus³  Raul Quiros⁴  Emilia Rosa Camacho⁴  Iratxe Lafuente⁵  Jose María Quintana⁶  Ane Villanueva⁶  Susana Garcia-Gutierrez⁷ 

[1]Cardiology Department, Hospital Basurto, Bilbo, Spain

[2]Cardiology Department, Hospital Galdakao-Usansolo, Galdakao, Spain

[3]Cardiology Department, Hospital Parc Taulí, Sabadell, Spain

[4]Internal Medicine Department, Hospital Costa del Sol, Marbella, Spain

[5]Research Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain

[6]Fundación Vasca de Innovación e Investigación Sanitarias, BIOEF, Barakaldo, Spain

[7]Research Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain

[8]Kronikgune Institute for Health Services Research, Barakaldo, Spain

[9]Red de Investigación en Servicios Sanitarios Y Enfermedades Crónicas (REDISSEC), Galdakao, Spain

[10]Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Girona, Spain

[11]Research Unit, Galdakao-Usansolo University Hospital, Barrio Labeaga s/n, 48960, Galdakao, Vizcaya, Spain

[12]Kronikgune Institute for Health Services Research, Barakaldo, Spain

[13]Red de Investigación en Servicios Sanitarios Y Enfermedades Crónicas (REDISSEC), Galdakao, Spain

[14]Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS), Girona, Spain

[15]Faculty of Health Sciences, Medicine Department, University of Deusto, Bilbo, Spain

关键词: Acute heart failure;    Readmissions;    PROMS;    Transitional period;   

DOI  :  10.1186/s12872-022-03029-2

 received in 2022-06-24, accepted in 2022-12-23,  发布年份 2022

来源: Springer

【 摘 要 】

AimsTo describe the main characteristics of patients who were readmitted to hospital within 1 month after an index episode for acute decompensated heart failure (ADHF).Methods and resultsThis is a nested case–control study in the ReIC cohort, cases being consecutive patients readmitted after hospitalization for an episode of ADHF and matched controls selected from those who were not readmitted. We collected clinical data and also patient-reported outcome measures, including dyspnea, Minnesota Living with Heart Failure Questionnaire (MLHFQ), Tilburg Frailty Indicator (TFI) and Hospital Anxiety and Depression Scale scores, as well as symptoms during a transition period of 1 month after discharge. We created a multivariable conditional logistic regression model. Despite cases consulted more than controls, there were no statistically significant differences in changes in treatment during this first month. Patients with chronic decompensated heart failure were 2.25 [1.25, 4.05] more likely to be readmitted than de novo patients. Previous diagnosis of arrhythmia and time since diagnosis ≥ 3 years, worsening in dyspnea, and changes in MLWHF and TFI scores were significant in the final model.ConclusionWe present a model with explanatory variables for readmission in the short term for ADHF. Our study shows that in addition to variables classically related to readmission, there are others related to the presence of residual congestion, quality of life and frailty that are determining factors for readmission for heart failure in the first month after discharge.Trial Registration: ClinicalTrials.gov Identifier: NCT03300791. First registration: 03/10/2017.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2

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