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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

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Behavioral factors and hospital admissions/readmissions in patients with CHF

Mark W Ketterer1, Cathy Draus1, James McCord1

  • 1HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.

Psychosomatics
|September 11, 2013
PubMed

Insights

Psychiatric history and cognitive issues may drive early readmissions for heart failure patients. Identifying these factors can help reduce hospital readmissions and healthcare waste.

Area of Science:

  • Cardiology
  • Psychiatry
  • Health Services Research

Background:

  • Healthcare waste is a significant concern in the US.
  • Heart failure (HF) patients have high readmission rates in Medicare/Medicaid populations.

Purpose of the Study:

  • To identify factors associated with past-year hospital admissions and 30-day readmissions in congestive heart failure (CHF) patients.

Main Methods:

  • Eighty-four hospitalized CHF patients were interviewed.
  • Data collected included clinical/demographic information, depression, anxiety, and spirituality.
  • Standardized questionnaires and chart reviews were utilized.

Main Results:

  • Depression, substance abuse history, and coronary artery disease history showed borderline association with past-year admissions.
  • Immediate memory deficits and psychiatric history (e.g., positive PHQ-9, antidepressant use) correlated with 30-day readmissions.
  • Congestive heart failure severity markers (ejection fraction, BNP) did not correlate with readmissions.

Conclusions:

  • Psychiatric history and cognitive impairment may be key determinants of early heart failure readmissions.
  • These findings suggest potential targets for interventions to reduce readmission rates.
Abstract

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