Key result
Geriatric syndromes, demographic, and cardiovascular risk factors were associated with 30-day all-cause and HF readmission (overall rates 22.3% and 9.8%, respectively) in older adults.
Why the study?
What are the risk factors for 30-day all-cause and heart failure readmission in hospitalized older adults with decompensated heart failure?
Observational (n=2,279)
Yes
What are the risk factors for 30-day all-cause and heart failure readmission in hospitalized older adults with decompensated heart failure?
In older adults hospitalized with decompensated heart failure, geriatric syndromes and specific clinical factors increase 30-day readmission risk, whereas discharge to home health care may be protective.
The current study evaluated risk factors of early hospital readmission in geriatric patients with acute heart failure (HF) and analyzed 2,279 consecutively hospitalized older adults with decompensated HF from November 2013 to October 2014 across 15 U.S. hospitals. The eTracker-HF was designed to make risk factors known to treating clinicians in electronic health records. Multilevel multivariate logistic regression was applied to examine the association between risk factors and all-cause and HF 30-day readmission rates. All-cause and HF 30-day readmission rates were 22.3% and 9.8%, respectively. Old age, non-White ethnicity, delirium, physical impairment, ejection fraction <40%, advanced chronic kidney disease, and previous myocardial infarction were associated with all-cause and HF readmission. Home health care use was inversely associated with early readmission. In addition to demographic and cardiovascular risk factors, geriatric syndromes were associated with early readmission. Discharge to home health care may reduce early readmission in these patients. [Res Gerontol Nurs. 2018; 11(4):190-197.].
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Ayatollahi et al. (2018) conducted an observational in Decompensated Heart Failure (n=2,279). Risk factors (demographic, cardiovascular, and geriatric syndromes) was evaluated on All-cause and HF 30-day readmission. Geriatric syndromes, demographic, and cardiovascular risk factors were associated with 30-day all-cause and HF readmission (overall rates 22.3% and 9.8%, respectively) in older adults.
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