Key result
COPD is linked to ~540% greater risk of early ADHF readmission alongside HIV and African-American ethnicity.
Why the study?
What clinical factors are associated with early readmission in adult patients admitted for acutely decompensated heart failure?
Cohort (n=685)
No
What clinical factors are associated with early readmission in adult patients admitted for acutely decompensated heart failure?
Effect estimate: OR 6.4
p-value: p=<0.0001
Several clinical factors, including COPD, HIV, African-American ethnicity, and absence of ACEi/ARB therapy, are independently associated with early readmission in acutely decompensated heart failure patients, which can be used to develop a risk stratification scoring system.
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May inform readmission risk stratification in ADHF; leaves open prospective validation of scoring systems.
Pierre-Louis et al. (2016) conducted a cohort in Acutely decompensated heart failure (n=685). Chronic obstructive pulmonary disease (COPD) vs. Absence of COPD was evaluated on Early CHF readmission (< 60 days) (OR 6.4, p=<0.0001). Chronic obstructive pulmonary disease (OR 6.4), HIV infection, African-American ethnicity, and other clinical factors were independently associated with an increased risk of early readmission within 60 days in patients with acutely decompensated heart failure.
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