Risk factors for 30-day readmission in patients with congestive heart failure
Risk factors for 30-day readmission in patients with congestive heart failure
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DOI：
10.1016/j.hrtlng.2017.06.005
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发表时间：
2017-09-01
期刊：
影响因子：
2.8
通讯作者：
Hollenbeak, Christopher S.
中科院分区：
文献类型：
--
作者：
Mirkin, Katelin A.;Enomoto, Laura M.;Hollenbeak, Christopher S.
背景资料：充血性心力衰竭（CHF）患者再入院的风险升高，临床决策者需要更好地了解30天再入院的风险因素。Objective：To identify risk factors for recommission in patients with CHF.Methods：我们使用宾夕法尼亚州全州范围内的出院数据集，研究了2011年CHF患者的所有入院情况。主要结局是出院后30天内再次入院宾夕法尼亚州任何一家医院。结果：在入院的155，146名CHF患者中，35，294名（22.8%）在30天内再次入院。男性、黑人、联邦医疗保险覆盖范围、合并症、出院至专业护理机构或由家庭护士护理、更长的住院时间（LOS）、从其他机构入院和急诊入院（所有p < 0.001）是显著的危险因素。合并症，社会人口因素，包括男性性别，年龄，黑人种族和医疗保险覆盖范围，和住院时间延长与CHF患者再入院风险增加相关。(C)2017爱思唯尔公司All rights reserved.
Background: Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions.Objective: To identify risk factors for readmission in patients with CHF.Methods: We studied all admissions for patients with CHF during 2011 using a statewide discharge data set from Pennsylvania. The primary outcome was readmission to any Pennsylvania hospital within 30 days of discharge.Results: Of 155,146 CHF patients admitted, 35,294 (22.8%) were readmitted within 30 days. Male sex, black race, coverage by Medicare, comorbidities, discharge to a skilled nursing facility or with a home nurse, a longer length of stay (LOS), admission from another facility, and emergent admission (all p < 0.001) were significant risk factors.Conclusions: Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF. (C) 2017 Elsevier Inc. All rights reserved.