Related Experiment Video
Updated: Oct 15, 2025

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
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.
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.
Abstract:
Background: Heart failure (HF) is a significant cause of mortality, morbidity and impaired quality of life and is the leading cause of readmissions and hospitalization. This study aims to identify the factors contributing to readmission in patients with HF. Methods: A prospective-observational single-centre study was conducted in Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates. A total of 146 patients with HF are included in the study. Patient's demographics, patient medical characteristics, lab values, medications were collected for each patient, and the factors associated with readmission are identified. The primary outcome is to identify the factors contributing to readmission and reduce readmission rate. SPSS software for windows version 26 is used for data analysis. Results: The number of patients with heart failure admitted to hospital is higher with males (73.3%) than females. 42.1% were readmitted and were not compliant, whereas patients who are not readmitted and were compliant shows a lower percentage. Noncompliance was the most significant factor associated with readmission (p = 0.02, OR = 3.6, 95%CI: 1.57 - 8.28). Other factors that are associated with readmission were low haemoglobin (p = 0.001, OR = 0.96, 95%CI: 0.94 - 0.98), and NYHA class of HF (p = 0.023, OR = 2.22, 95%CI: 1.12 - 4.43). In addition, there are other factors that are linked with the disease but were not associated with readmission in our findings such as hypertension, coronary artery disease, gender, systolic blood pressure on admission, and age. Majority of the readmitted patients were NYHA Class IV 32/57 (56.1%) against 20/89 (22.7%) in non-readmission group. Length of stay is (Median ± IQR, 6 ± 8.5). Conclusion: The study has revealed that noncompliance, low haemoglobin and NYHA Class IV of HF were the main factors associated with readmission. Clinical pharmacist as a team member could help to improve adherence in order to reduce the rate of admission.
More Related Videos
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
Related Concept Videos
Pathophysiology of Heart Failure
Heart Failure I: Introduction
Heart Failure VII: Nursing Interventions
Heart Failure V: Medical Management
Heart Failure II: Pathophysiology
Heart Failure III: Clinical Manifestations