Readmission rates and related factors in heart failure patients: A study in Lebanon

Deek, Hiba; Skouri, Hadi; Noureddine, Samar

doi:10.1016/j.colegn.2014.11.001

Cited by 20 publications

(17 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Readmissions are frequent in patients with acute HF and served as a secondary outcome measure in the current study. A previous report demonstrated that diabetes mellitus, hyperlipidemia, CAD, length of stay at the index admission, and prescription of beta-blockers were significant predictors of readmission rates [29]. The 30-day, 3-month, and 12-month readmission rates observed in our study were 0.8%, 4.5%, 13.5%, respectively, being markedly lower than those observed in Western countries [30,31].…”

Section: Discussioncontrasting

confidence: 70%

Left Ventricular Function and Myocardial Triglyceride Content on 3T Cardiac MR Predict Major Cardiovascular Adverse Events and Readmission in Patients Hospitalized with Acute Heart Failure

Chang

Lin

Huang

et al. 2020

JCM

View full text Add to dashboard Cite

Background: This prospective study was designed to investigate whether myocardial triglyceride (TG) content from proton magnetic resonance spectroscopy (MRS) and left ventricular (LV) function parameters from cardiovascular magnetic resonance imaging (CMR) can serve as imaging biomarkers in predicting future major cardiovascular adverse events (MACE) and readmission in patients who had been hospitalized for acute heart failure (HF). Methods: Patients who were discharged after hospitalization for acute HF were prospectively enrolled. On a 3.0 T MR scanner, myocardial TG contents were measured using MRS, and LV parameters (function and mass) were evaluated using cine. The occurrence of MACE and the HF-related readmission served as the endpoints. Independent predictors were identified using univariate and multivariable Cox proportional hazard regression analyses. Results: A total of 133 patients (mean age, 52.4 years) were enrolled. The mean duration of follow-up in surviving patients was 775 days. Baseline LV functional parameters—including ejection fraction, LV end-diastolic volume, LV end-diastolic volume index (LVEDVI), and LV end-systolic volume (p < 0.0001 for all), and myocardial mass (p = 0.010)—were significantly associated with MACE. Multivariable analysis revealed that LVEDVI was the independent predictor for MACE, while myocardial mass was the independent predictor for 3- and 12-month readmission. Myocardial TG content (lipid resonances δ 1.6 ppm) was significantly associated with readmission in patients with ischemic heart disease. Conclusions: LVEDVI and myocardial mass are potential imaging biomarkers that independently predict MACE and readmission, respectively, in patients discharged after hospitalization for acute HF. Myocardial TG predicts readmission in patients with a history of ischemic heart disease.

show abstract

Section: Discussioncontrasting

confidence: 70%

Left Ventricular Function and Myocardial Triglyceride Content on 3T Cardiac MR Predict Major Cardiovascular Adverse Events and Readmission in Patients Hospitalized with Acute Heart Failure

Chang

Lin

Huang

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…Patients' characteristics and clinical parameters, including age, sex, body mass index (BMI), left ventricular ejection fraction (LVEF), brain natriuretic peptide (BNP) concentration, New York Heart Association (NYHA) class at discharge, estimated glomerular filtration rate (eGFR), creatinine level at discharge, hemoglobin level at discharge, albumin level at discharge, acute management, comorbidity, Charlson comorbidity index, medications, time of initiation of walking exercise, length of hospital stay, motor Functional Independence Measure (FIM) score at discharge, and cognitive FIM score at discharge, were evaluated by reviewing medical records retrospectively. We divided patients into two groups, the nonreadmission or readmission group within 90 days, based on a previous study [ 9 , 10 ]. We also evaluated the FIM as a measurement of ADL [ 14 ].…”

Section: Methodsmentioning

confidence: 99%

“…The readmission rate is high within 6 months [ 3 , 6 ]. Age, severity, length of hospital stay, comorbidities, and disease management are the risk factors for short-term readmission [ 7 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Activities of Daily Living and Readmission within 90 Days in Hospitalized Elderly Patients with Heart Failure

Kitamura

Izawa

Taniue

et al. 2017

BioMed Research International

View full text Add to dashboard Cite

Aims To examine the relationship between activities of daily living (ADL) and readmission within 90 days and assess the cutoff value of ADL to predict readmission in hospitalized elderly patients with heart failure (HF). Methods This cohort study comprised 589 consecutive patients with HF aged ≥65 years, who underwent cardiac rehabilitation from May 2012 to May 2016 and were discharged home. We investigated patients' characteristics, basic attributes, and ADL (motor and cognitive Functional Independence Measure [FIM]). We analyzed the data using the unpaired t-test, χ2 test, Cox proportional hazard model, receiver operating characteristic (ROC) curve, and Kaplan-Meier method. Results Of 589 patients, 113 met the criteria, and they were divided into the nonreadmission (n = 90) and readmission groups (n = 23). Age, body mass index, New York Heart Association class, hemoglobin level, and motor FIM score were significantly different between the two groups (p < 0.05). The body mass index (hazard ratio [HR]: 0.87; p < 0.05) and motor FIM score (HR: 0.94; p < 0.01) remained statistically significant. The cutoff value for the motor FIM score determined by ROC curve analysis was 74.5 points (area under the curve = 0.78; p < 0.001). Conclusion The motor FIM score in elderly patients with HF was an independent predictor of rehospitalization within 90 days.

show abstract

“…It included all therapies provided during an average stay of 7 days as reported. A retrospective chart review of HF presentations at one governmental hospital presented the readmission rates at 30, 60, and 90 days to be 15%, 22%, and 28%, respectively (Deek, Skouri, & Noureddine, 2016). Interventions conducted to improve HF outcomes included an educational family intervention on self‐care and symptom management (Deek et al, 2017) through a multisite randomized controlled trial.…”

Section: Heart Failure In Lebanonmentioning

confidence: 99%

The Lebanese Heart Failure Snapshot: A National Presentation of Acute Heart Failure Admissions

Deek

Newton

Kabbani

et al. 2020

J of Nursing Scholarship

Self Cite

View full text Add to dashboard Cite

Purpose The purpose of this prospective evaluation is to document in‐hospital management and discharge trends of patients presented for acute heart failure. Design A prospective evaluation of the patients presented for heart failure exacerbation at eight sites over 1 month using the method of the New South Wales Heart Failure Snapshot. Methods Trained personnel situated at each of the study sites recruited eligible patients to the study and collected data on their sociodemographic characteristics, clinical presentation, self‐care, frailty, and depression. Findings Eight sites, out of the 27 contacted, agreed to participate in this study. A total of 137 admissions were reported in the 1‐month time window. Mean age was 72 (SD = 13) years and the majority were female (52%). More than half (n = 60%) had heart failure reduced ejection fraction with a mean ejection fraction of 41%. The mean Charlson Comorbidity Index score was four with hypertension (80%) and diabetes (56%) being the most frequent. The majority were frail (86%), self‐care mean scores were low; self‐care maintenance (29), self‐care management (48) and self‐care confidence (42). The mean depression score was 14 indicating major depression. In reference to international guidelines recommendations, hospital administered medications and discharge medications were suboptimal. Some items of the discharge education recommended by the international guidelines were provided to 84% of the patients but none of the patients received the complete items of the discharge education. Conclusions The snapshot revealed that patients admitted for acute heart failure were frail with high levels of illiteracy and low self‐care scores. Despite these findings, these patients were not provided with complete discharge education in reference to the international guidelines. Additionally, when provided, discharge education was inconsistent across the study sites. This study highlights the need for enlisting complete education as part of the discharge process, in addition to abidance to the guidelines in prescribing medication. The study draws major implications for nursing practice, research and policy. Clinical Relevance Literacy among patients with heart failure is low and should be addressed in educational intervention to improve outcomes. Discharge education is under practiced across the country and should be implemented in accordance with the international guidelines.

show abstract

Readmission rates and related factors in heart failure patients: A study in Lebanon

Cited by 20 publications

References 20 publications

Left Ventricular Function and Myocardial Triglyceride Content on 3T Cardiac MR Predict Major Cardiovascular Adverse Events and Readmission in Patients Hospitalized with Acute Heart Failure

Left Ventricular Function and Myocardial Triglyceride Content on 3T Cardiac MR Predict Major Cardiovascular Adverse Events and Readmission in Patients Hospitalized with Acute Heart Failure

Relationship between Activities of Daily Living and Readmission within 90 Days in Hospitalized Elderly Patients with Heart Failure

The Lebanese Heart Failure Snapshot: A National Presentation of Acute Heart Failure Admissions

Contact Info

Product

Resources

About