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January 16, 2024ESC Heart FailureOpen Access

Impact of Mental Disorders on Unplanned Readmissions for Congestive Heart Failure Patients: A Population-Level Study

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Key result

Recent mental disorder diagnosis in CHF is linked to ~21% higher 28-day unplanned readmission risk.

  • HR 1.21
  • 95% CI 1.15-1.27
  • P<0.001
  • n=65,861

Why the study?

Reducing preventable hospitalizations for CHF is a major challenge, and patients with recent or ongoing mental disorders may have worse health outcomes than those without.

Does a recent mental disorder diagnosis increase the risk of 28-day unplanned readmission in adults discharged after a congestive heart failure admission?

Population

65 861 adults aged ≥18 years discharged alive after index CHF admission in New South Wales, Australia

Comparison

Mental disorder diagnosis within 12 months vs no mental disorder diagnosis

Design

Retrospective population-level linked cohort study

Follow-up

28 days

Authors

ZSZhisheng SaTBTim Badgery‐ParkerJLJanet C. Long

Discussion

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Member takes

Overview

Mental disorders may raise 28-day CHF readmission risk; hypothesis-generating for integrated care trials.

Study Design

Type

Cohort (n=65,861)

Multicenter

Yes

Structured PICO

Does a recent mental disorder diagnosis increase the risk of 28-day unplanned readmission in adults discharged after a congestive heart failure admission?

P
Population
65,861 adults aged ≥18 years discharged alive after a congestive heart failure admission, evaluated for 28-day unplanned readmission.
E
Exposure
Mental disorder diagnosis within 12 months.
C
Comparator
No mental disorder diagnosis.
O
Outcome
28-day all-cause unplanned hospital readmission.hard clinical

Main Result

Hazard Ratio: 1.21 (95% CI 1.15–1.27)

p-value: p=< 0.001

A recent mental disorder diagnosis significantly increases the risk of 28-day unplanned readmission in patients with congestive heart failure, highlighting the need for integrated mental health care in discharge planning.

Cite This Study

Sa et al. (2024) conducted a cohort in Congestive heart failure (n=65,861). Mental disorder diagnosis within 12 months vs. No mental disorder diagnosis was evaluated on 28 day all-cause unplanned readmission (HR 1.21, 95% CI 1.15-1.27, p=< 0.001). A mental disorder diagnosis within 12 months in CHF patients was associated with a higher risk of 28-day all-cause unplanned readmission (HR 1.21; 95% CI 1.15-1.27; P<0.001).

synapsesocial.com/papers/6a3dc2b6e67a1dc2fe0aee3fhttps://doi.org/10.1002/ehf2.14644
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Also Consider

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