Clinical factors associated with early readmission among acutely decompensated heart failure patients

Bredy Pierre-Louis, Shareen Rodriques, Vanessa Gorospe, Achuta Kumar Guddati, Wilbert S. Aronow, Chul Ahn, Maurice Wright

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Congestive heart failure (CHF) is a common cause of hospital readmission. Material and methods: A retrospective study was conducted at Harlem Hospital in New York City. Data were collected for 685 consecutive adult patients admitted for decompensated CHF from March, 2009 to December, 2012. Variables including patient demographics, comorbidities, laboratory studies, and medical therapy were compared between CHF patient admissions resulting in early CHF readmission and not resulting in early CHF readmission. Results: Clinical factors found to be independently significant for early CHF readmission included chronic obstructive pulmonary disease (odds ratio (OR) = 6.4), HIV infection (OR = 3.4), African-American ethnicity (OR = 2.2), systolic heart failure (OR = 1.9), atrial fibrillation (OR = 2.3), renal disease with glomerular filtration rate > 30 ml/min (OR = 2.7), evidence of substance abuse (OR = 1.7), and absence of angiotensin-converting enzyme inhibitors or angiotensin receptor blocker therapy after discharge (OR = 1.8). The ORs were used to develop a scoring system regarding the risk for early readmission. Conclusions: Identifying patients with clinical factors associated with early CHF readmission after an index hospitalization for CHF using the proposed scoring system would allow for an early CHF readmission risk stratification protocol to target particularly high-risk patients.

Original languageEnglish (US)
Pages (from-to)538-545
Number of pages8
JournalArchives of Medical Science
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Fingerprint

Heart Failure
Odds Ratio
Systolic Heart Failure
Patient Readmission
Angiotensin Receptor Antagonists
Patient Admission
Glomerular Filtration Rate
Angiotensin-Converting Enzyme Inhibitors
African Americans
Atrial Fibrillation
Chronic Obstructive Pulmonary Disease
HIV Infections
Substance-Related Disorders
Comorbidity
Hospitalization
Retrospective Studies
Demography
Kidney
Therapeutics

Keywords

  • Congestive heart failure
  • Heart failure readmission
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Clinical factors associated with early readmission among acutely decompensated heart failure patients. / Pierre-Louis, Bredy; Rodriques, Shareen; Gorospe, Vanessa; Guddati, Achuta Kumar; Aronow, Wilbert S.; Ahn, Chul; Wright, Maurice.

In: Archives of Medical Science, Vol. 12, No. 3, 01.01.2016, p. 538-545.

Research output: Contribution to journalArticle

Pierre-Louis, Bredy ; Rodriques, Shareen ; Gorospe, Vanessa ; Guddati, Achuta Kumar ; Aronow, Wilbert S. ; Ahn, Chul ; Wright, Maurice. / Clinical factors associated with early readmission among acutely decompensated heart failure patients. In: Archives of Medical Science. 2016 ; Vol. 12, No. 3. pp. 538-545.
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