Key result
Low hemoglobin values were significantly associated with a higher rate of readmissions at 14 and 30 days in patients with acute decompensated heart failure and normal sodium and creatinine values.
Why the study?
Is the presence of anemia associated with higher readmission rates in patients with acute decompensated heart failure?
Observational (n=847)
Yes
Is the presence of anemia associated with higher readmission rates in patients with acute decompensated heart failure?
Anemia is significantly associated with increased 14-day and 30-day readmission rates in patients hospitalized for acute decompensated heart failure, particularly those with normal sodium and creatinine.
May aid readmission risk stratification in normonatremic ADHF; leaves open whether anemia correction alters outcomes.
Hospitals today are facing adjustments to reimbursements from excessive readmission rates. One of the most common and expensive causes of readmissions is exacerbation of a heart failure condition. The objective of this paper was to determine if there was an association between the presence of anemia in patients with acute decompensated heart failure and their readmission rate. Using archival data of 4 hospitals in the Miami area, a sample of 847 inpatients with a diagnostic related group (DRG) of HF at discharge was considered. There was a significant association between low hemoglobin values and a high rate of readmissions at 14 days and at 30 days in subjects with normal sodium and creatinine values. For subjects with low sodium and high creatinine values, a higher readmission rate was seen in men with low hemoglobin but not in women. These results support a prospective effort to measure the impact of anemia and its treatment on readmission rates.
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Busse et al. (2014) conducted an observational in Acute Decompensated Heart Failure (n=847). Anemia (low hemoglobin values) vs. Normal hemoglobin values was evaluated on Readmission rate at 14 days and 30 days. Low hemoglobin values were significantly associated with a higher rate of readmissions at 14 and 30 days in patients with acute decompensated heart failure and normal sodium and creatinine values.
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