Factors Associated With Hospital Readmission of Heart Failure Patients

Maitha Abdul-Aziz Al-Tamimi1, Syed Wasif Gillani1, Mohamed Elhassan Abd Alhakam2

  • 1College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.

Frontiers in Pharmacology
|October 28, 2021
PubMed

Insights

Patient noncompliance, low hemoglobin, and advanced heart failure (HF) class significantly increase hospital readmissions. Improving adherence through clinical pharmacists can help reduce HF readmission rates.

Area of Science:

  • Cardiology
  • Clinical Medicine
  • Public Health

Background:

  • Heart failure (HF) is a primary cause of mortality and hospital readmissions.
  • Identifying factors contributing to HF readmissions is crucial for improving patient outcomes and reducing healthcare burdens.

Purpose of the Study:

  • To identify key factors associated with hospital readmission in patients diagnosed with heart failure.
  • To provide insights for strategies aimed at reducing heart failure readmission rates.

Main Methods:

  • A prospective, observational, single-center study involving 146 heart failure patients.
  • Data collection included patient demographics, medical history, laboratory values, and medications.
  • Statistical analysis using SPSS software to identify factors associated with readmission.

Main Results:

  • Noncompliance was the most significant factor linked to readmission (OR = 3.6, p = 0.02).
  • Low hemoglobin levels (OR = 0.96, p = 0.001) and NYHA Class IV heart failure (OR = 2.22, p = 0.023) were also associated with increased readmission.
  • Readmitted patients predominantly belonged to NYHA Class IV (56.1%).

Conclusions:

  • Noncompliance, low hemoglobin, and NYHA Class IV heart failure are major predictors of hospital readmission.
  • Integrating clinical pharmacists into care teams may enhance patient adherence and decrease readmission rates.

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