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Clinical characteristics at hospital discharge that predict cardiovascular readmission within 100 days in heart failure patients – An observational study
Capio Vårdcentral Halmstad, Halmstad, Sweden; Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID iD: 0000-0002-2523-3148
Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Halmstad University, School of Information Technology.ORCID iD: 0000-0001-5688-0156
Halmstad University, School of Information Technology.ORCID iD: 0000-0003-2006-6229
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2023 (English)In: International Journal of Cardiology Cardiovascular Risk and Prevention, E-ISSN 2772-4875, Vol. 16, article id 200176Article in journal (Refereed) Published
Abstract [en]

Background: After a heart failure (HF) hospital discharge, the risk of a cardiovascular (CV) related event is highest in the following 100 days. It is important to identify factors associated with increased risk of readmission. Method: This retrospective, population-based study examined HF patients in Region Halland (RH), Sweden, hospitalized with a HF diagnosis between 2017 and 2019. Data regarding patient clinical characteristics were retrieved from the Regional healthcare Information Platform from admission until 100 days post-discharge. Primary outcome was readmission due to a CV related event within 100 days. Results: There were 5029 included patients being admitted for HF and discharged and 1966 (39%) were newly diagnosed. Echocardiography was available for 3034 (60%) patients and 1644 (33%) had their first echocardiography while admitted. The distribution of HF-phenotypes was 33% HF with reduced ejection fraction (EF), 29% HF with mildly reduced EF and 38% HF with preserved EF. Within 100 days, 1586 (33%) patients were readmitted, and 614 (12%) died. A Cox regression model showed that advanced age, longer hospital length of stay, renal impairment, high heart rate and elevated NT-proBNP were associated with an increased risk of readmission regardless of HF-phenotype. Women and increased blood pressure are associated with a reduced risk of readmission. Conclusions: One third had a CV-readmission within 100 days. This study found clinical factors already present at discharge that are associated with increased risk of readmission which should be considered at discharge. © 2023 The Authors

Place, publisher, year, edition, pages
Philadelphia, PA: Elsevier, 2023. Vol. 16, article id 200176
Keywords [en]
Heart failure, Hospital readmission, Risk factors
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-50077DOI: 10.1016/j.ijcrp.2023.200176ISI: 000948814100001PubMedID: 36865412Scopus ID: 2-s2.0-85148749401OAI: oai:DiVA.org:hh-50077DiVA, id: diva2:1741796
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This research is included in the CAISR Health research profile.

Available from: 2023-03-07 Created: 2023-03-07 Last updated: 2025-10-01Bibliographically approved

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Ashfaq, AwaisEtminani, Kobra

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