Congestive Heart Failure 30-Day Readmission: Descriptive Study of Demographics, Co-morbidities, Heart Failure Knowledge, and Self-Care.
30-day readmission
congestive heart failure
heart failure knowledge
heart failure readmissions
self-care behaviors
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
accepted:
11
10
2021
entrez:
17
11
2021
pubmed:
18
11
2021
medline:
18
11
2021
Statut:
epublish
Résumé
Background Congestive heart failure (CHF) readmissions are associated with substantial financial and medical implications. We performed a descriptive study to determine demographic, clinical, and behavioral factors associated with 30-day readmission. Materials and methods Patients hospitalized with CHF at William Beaumont Hospital in Royal Oak, MI, from March 2019-May 2019 were studied. Response to heart failure knowledge and self-care questionnaires along with the patients' demographic and clinical factors were collected. Thirty-day readmission to any of the eight hospitals in the Beaumont Health System was documented. Results One-hundred ninety-six (196) patients were included. The all-cause 30-day readmission rate was 23%. A numerical higher rate of readmissions was observed among males (23.7% vs 22.2%), current smokers (27.3% vs 22.9%), and patients with peripheral vascular disease (PVD; 28.9% vs 21.2%), diabetes mellitus (DM; 26.4% vs 18.9%), hypertension (HTN; 26.4% vs 10%), coronary artery disease (CAD; 24.6% vs 19%), and prior history of cerebrovascular accident (CVA; 28.9% vs 21.2%) (p>0.05). Reduced left ventricular ejection fraction (LVEF) was associated with higher readmissions (24.4% vs 20.5%, p=0.801). Patients with the highest reported questionnaire scores corresponding to better heart failure knowledge and self-care behaviors at home were readmitted at a similar rate compared to those scoring in the lowest interval (25%, p=0.681). Conclusion Though statistically insignificant due to the limitations of sample size, a higher percentage of readmissions was observed in male patients, current smokers, reduced LVEF, and higher comorbidity burden. Better reported patient self-care behavior, medication compliance, and heart failure knowledge did not correlate with reduced readmission rates. While the impact of medical comorbidities on 30-day readmissions is better established, the role of socioeconomic factors remains unclear and might suggest a focus for future work.
Identifiants
pubmed: 34786247
doi: 10.7759/cureus.18661
pmc: PMC8579470
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e18661Informations de copyright
Copyright © 2021, Madanat et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Am Geriatr Soc. 1997 Aug;45(8):968-74
pubmed: 9256850
J Clin Nurs. 2012 Feb;21(3-4):448-75
pubmed: 22098479
J Adv Nurs. 2010 Jul;66(7):1487-99
pubmed: 20492026
Int J Gen Med. 2018 Apr 09;11:127-141
pubmed: 29670391
ESC Heart Fail. 2020 Jun;7(3):1007-1014
pubmed: 32212327
Circulation. 2012 Jul 24;126(4):501-6
pubmed: 22825412
Heart Lung. 2017 Sep - Oct;46(5):357-362
pubmed: 28801110
Eur J Heart Fail. 2005 Jan;7(1):5-17
pubmed: 15642526
J Gen Intern Med. 2014 Oct;29(10):1333-40
pubmed: 24825244
Arch Intern Med. 2008 Feb 11;168(3):316-24
pubmed: 18268174
J Card Fail. 2015 Nov;21(11):885-91
pubmed: 26209002
J Cardiovasc Nurs. 2011 Sep-Oct;26(5):377-85
pubmed: 21263339
J Gen Intern Med. 2004 Dec;19(12):1228-39
pubmed: 15610334
Med Care. 2010 Nov;48(11):981-8
pubmed: 20940649
Can J Cardiol. 2014 Jun;30(6):612-8
pubmed: 24882531
J Eval Clin Pract. 2012 Dec;18(6):1211-8
pubmed: 22070191
J Adv Nurs. 2013 Nov;69(11):2458-69
pubmed: 23488859
Int J Health Policy Manag. 2014 Sep 30;3(5):251-7
pubmed: 25337599
Eur J Heart Fail. 2012 Jul;14(7):791-801
pubmed: 22588319
J Card Fail. 2011 Jan;17(1):54-75
pubmed: 21187265
Eur Heart J. 2008 Jun;29(11):1377-85
pubmed: 18413309
Am J Cardiol. 2002 Jun 1;89(11):1322-6
pubmed: 12031741
Circulation. 2010 Feb 23;121(7):e46-e215
pubmed: 20019324
Am J Cardiol. 2000 Dec 15;86(12):1339-42
pubmed: 11113409
Circulation. 2015 Jan 27;131(4):e29-322
pubmed: 25520374
Am Heart J. 2007 Aug;154(2):277.e1-8
pubmed: 17643576
J Manag Care Spec Pharm. 2014 Jul;20(7):741-55
pubmed: 24967527
BMC Cardiovasc Disord. 2006 Nov 02;6:43
pubmed: 17081306
JAMA. 2010 Sep 22;304(12):1331-8
pubmed: 20858878
Circulation. 2014 Sep 16;130(12):966-75
pubmed: 25135276
JAMA Cardiol. 2016 Jun 1;1(3):362-4
pubmed: 27438121
Med Care. 2016 Apr;54(4):365-72
pubmed: 26978568
Am J Cardiol. 1997 Jan 15;79(2):216-9
pubmed: 9193031
Clin Interv Aging. 2015 Jan 12;10:237-45
pubmed: 25653510
Circulation. 2020 Mar 3;141(9):e139-e596
pubmed: 31992061
Clin Cardiol. 2003 Sep;26(9):411-8
pubmed: 14524597
J Cardiovasc Nurs. 2008 May-Jun;23(3):190-6
pubmed: 18437059
Circ Heart Fail. 2013 May;6(3):606-19
pubmed: 23616602
Eur J Cardiovasc Nurs. 2017 Apr;16(4):326-333
pubmed: 27566598
Eur Heart J. 2006 Feb;27(4):434-40
pubmed: 16230302
Eur Heart J. 2012 Jul;33(14):1787-847
pubmed: 22611136
J Gen Intern Med. 2006 Aug;21(8):806-12
pubmed: 16881938
Circulation. 2017 Mar 7;135(10):e146-e603
pubmed: 28122885