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Predictors of hospital readmission within six months in heart failure patients
Joint Event on Heart Failure, Pediatric Cardiology & Nursing Education
February 18-19, 2019 | Amsterdam, Netherlands
Suppawan Lertpongpakpoom
Hatyai Hospital, Thailand
Posters & Accepted Abstracts: Cardiovasc Pharm Open Access
Abstract:
Introduction: Readmission within six months after a hospital discharge can effectively indicate clinical outcomes of heart failure (HF) patients. Nowadays, clinical variables assessed prior to hospital discharge can serve as a predictor of hospital readmission.
Aim: This study aimed to investigate a set of clinical variables which were assessed right before a hospital discharge in order to predict hospital readmission of HF patients within a month.
Materials & Methods: A retrospective study was applied with a sample of 461 ADHF patients, aged 18 years and older, who were admitted to a tertiary hospital in Thailand due to acute heart failure (AHF) in between January 1st, 2016 to December 31st, 2016. Reviews of annual medical records were conducted for data collection. The last clinical variables which were measured and recorded before hospital discharge included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and important laboratory investigations (creatinine, sodium, and potassium serum). Binary logistic regression was used for the multivariate analysis.
Results: There were females 53.6% (n=247) and males 46.4% (n=214), aged 21-97 years (66.9+14.9). One hundred and eighty seven (40.6%) of samples in this study were readmissions with AHF within six months. Clinical variables, both blood pressure value (SBP and DBP) and important laboratory investigations (creatinine, sodium, and potassium serum), were not significantly associated with hospital readmission within one month. Only HR variable was a predictor of one month hospital readmission with AHF (OR=1.148; 95% CI=1.017-2.147, p<.05).
Biography :
Suppawan Lertpongpakpoom has obtained BNS degree in 2002 from Prince of Songkla University.
E-mail: suppawan.le@gmail.com