Key result
Patients who lived with family (OR 0.2) or in assisted living facilities (OR 0.5) and those without chronic renal failure (OR 0.6) were significantly less likely to experience 30-day CHF readmission.
Why the study?
Congestive heart failure readmissions are frequent, costly, and preventable, prompting analysis of socioeconomic and health-related factors affecting 30-day readmissions.
Case-Control
No
Odds Ratio: 0.2
Living arrangements and comorbid chronic renal failure are significant predictors of 30-day readmission in patients with congestive heart failure, highlighting the importance of social determinants of health in post-discharge outcomes.
Living alone and CRF were associated with higher CHF readmission risk; leaves open whether targeted support interventions reduce events.
Congestive heart failure (CHF) readmissions are frequent and costly but preventable. The purpose of this study was to analyze socioeconomic and health-related factors of CHF readmissions by examining the relationship between 30-day readmissions of individuals with CHF and their payer status, race, ethnicity, primary language spoken, living arrangement, and comorbidities. This retrospective case-control study used secondary data from 450 CHF patients admitted to a not-for-profit Northern Virginia hospital from July 2014 to December 2017. Data were analyzed using χ 2 and logistic regression. Living arrangements and comorbid chronic renal failure (CRF) were statistically significant predictors of CHF readmissions; all other factors were nonsignificant. Patients who lived with family and those in assisted living facilities were less likely to be readmitted than those who lived alone (odds ratio [OR] = 0.2 and 0.5, respectively). Patients without CRF were less likely to be readmitted than those who had CRF (OR = 0.6). This study contributes data to inform community-based health programs tailored toward frequently readmitted individuals due to CHF exacerbation.
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Gusto et al. (2022) conducted a case-control in Congestive Heart Failure. Living with family vs. Living alone was evaluated on 30-day CHF readmission (OR 0.2). Patients who lived with family (OR 0.2) or in assisted living facilities (OR 0.5) and those without chronic renal failure (OR 0.6) were significantly less likely to experience 30-day CHF readmission.
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