Key result
In-hospital weight loss >2 kg in HF is not linked to lower 30-day readmission.
Why the study?
The association of weight change and short-term readmission in patients hospitalized for HF has not been well studied.
Does in-hospital weight loss >2 kg reduce 30-day all-cause or HF-specific readmission in patients hospitalized for decompensated HF?
Cohort (n=658)
No
Does in-hospital weight loss >2 kg reduce 30-day all-cause or HF-specific readmission in patients hospitalized for decompensated HF?
In-hospital weight loss >2 kg during admission for decompensated heart failure is not associated with a reduction in 30-day readmission rates compared to modest weight changes.
Answers are grounded in this paper and cite their sources.
In-hospital weight loss >2 kg shows no readmission benefit in decompensated HF; leaves open optimal diuresis targets for future trials.
Background: The association of weight change and short-term readmission in patients hospitalized for heart failure (HF) has not been well studied. Methods: We collected clinical and weight data from patients admitted with decompensated HF to a single center (2012−2013). We performed logistic regression to determine the association between weight change and two outcomes: a total of 30-day HF-specific readmission and 30-day all-cause readmission. Results: Admission and discharge weights were documented in 479/658 patients (73%). Weight loss >2 kg was not associated with 30-day all-cause or HF-specific readmission when compared with more modest inpatient weight change (-2 kg to +2 kg; all-cause readmission odds ratio: 0.86; CI: 0.56−1.37; HF-specific readmission odds ratio: 1.15; CI: 0.61−2.16). Conclusion: Among HF inpatients, in-hospital weight loss was not associated with 30-day all-cause or HF-specific readmission.
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Nanna et al. (2020) conducted a cohort in Decompensated heart failure (n=658). Weight loss >2 kg vs. Weight change -2 kg to +2 kg was evaluated on 30-day all-cause readmission (OR 0.86, 95% CI 0.56-1.37, p=0.50). In-hospital weight loss of >2 kg in heart failure patients was not significantly associated with 30-day all-cause readmission compared to modest weight change (OR 0.86).
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