Heart failure & cardiomyopathies
Multifactorial Risk Factors for Hospital Readmissions Among Patients with Symptoms of Advanced Heart Failure
Authors' conclusion
Risk factors for hospital readmissions and mortality are multifactorial.
Study context
- Population
- Patients hospitalised with symptoms of advanced HF (New York Heart Association (NYHA) class III and IV), July 2017–April 2019
- Participants
- 250 patients
- Outcome
- All-cause and unplanned hospital readmissions and mortality (joint-frailty model, competing risk of mortality)
- Follow-up
- 4.5 years
Main finding
As reported in the abstract
Independent risk factors for hospital readmissions (multivariable)
- Weak grip strength, HR
- 1.59 (1.06, 2.13) (95% CI)
- Poor functional status, HR
- 1.79 (0.98, 2.61) (95% CI)
- Diabetes, HR
- 1.42 (0.97, 1.86) (95% CI)
- Poor self-care, HR
- 1.66 (0.84, 2.49) (95% CI)
- Preference for maximal life extension at high cost (high education), HR
- 1.98 (1.17, 2.80) (95% CI)
Observational data: associations, not effects.
Further findings
Readmission · within 2 years of admission
- At least one readmission
- 74%
- Unplanned among all readmissions during follow-up
- 68%
Risk factors for mortality
- Higher readmission rate, HR
- 1.86 (1.23, 2.50) (95% CI)
- Weak grip strength, HR
- 3.65 (0.57, 6.73) (95% CI)
- Diabetes, HR
- 2.52 (0.62, 4.42) (95% CI)
- Lower education, HR
- 2.45 (0.37, 4.53) (95% CI)
- Being married, HR
- 2.53 (0.37, 4.69) (95% CI)
- Private health insurance, HR
- 0.40 (0.08, 0.73) (95% CI)
Original publication
Multifactorial Risk Factors for Hospital Readmissions Among Patients with Symptoms of Advanced Heart Failure. ESC Heart Fail. Published 25 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →