Risk factors for 30-day readmission in patients with congestive heart failure

Katelin A. Mirkin, Laura M. Enomoto, Gregory M. Caputo, Christopher S. Hollenbeak

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions. Objective To identify risk factors for readmission in patients with CHF. Methods We studied all admissions for patients with CHF during 2011 using a statewide discharge data set from Pennsylvania. The primary outcome was readmission to any Pennsylvania hospital within 30 days of discharge. Results Of 155,146 CHF patients admitted, 35,294 (22.8%) were readmitted within 30 days. Male sex, black race, coverage by Medicare, comorbidities, discharge to a skilled nursing facility or with a home nurse, a longer length of stay (LOS), admission from another facility, and emergent admission (all p < 0.001) were significant risk factors. Conclusions Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF.

Original languageEnglish (US)
Pages (from-to)357-362
Number of pages6
JournalHeart and Lung: Journal of Acute and Critical Care
Volume46
Issue number5
DOIs
StatePublished - Sep 2017

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Patient Readmission
Heart Failure
Medicare
Comorbidity
Length of Stay
Skilled Nursing Facilities
Community Health Nurses
Patient Admission

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Risk factors for 30-day readmission in patients with congestive heart failure",
abstract = "Background Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions. Objective To identify risk factors for readmission in patients with CHF. Methods We studied all admissions for patients with CHF during 2011 using a statewide discharge data set from Pennsylvania. The primary outcome was readmission to any Pennsylvania hospital within 30 days of discharge. Results Of 155,146 CHF patients admitted, 35,294 (22.8{\%}) were readmitted within 30 days. Male sex, black race, coverage by Medicare, comorbidities, discharge to a skilled nursing facility or with a home nurse, a longer length of stay (LOS), admission from another facility, and emergent admission (all p < 0.001) were significant risk factors. Conclusions Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF.",
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Risk factors for 30-day readmission in patients with congestive heart failure. / Mirkin, Katelin A.; Enomoto, Laura M.; Caputo, Gregory M.; Hollenbeak, Christopher S.

In: Heart and Lung: Journal of Acute and Critical Care, Vol. 46, No. 5, 09.2017, p. 357-362.

Research output: Contribution to journalArticle

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AU - Enomoto, Laura M.

AU - Caputo, Gregory M.

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N2 - Background Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions. Objective To identify risk factors for readmission in patients with CHF. Methods We studied all admissions for patients with CHF during 2011 using a statewide discharge data set from Pennsylvania. The primary outcome was readmission to any Pennsylvania hospital within 30 days of discharge. Results Of 155,146 CHF patients admitted, 35,294 (22.8%) were readmitted within 30 days. Male sex, black race, coverage by Medicare, comorbidities, discharge to a skilled nursing facility or with a home nurse, a longer length of stay (LOS), admission from another facility, and emergent admission (all p < 0.001) were significant risk factors. Conclusions Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF.

AB - Background Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions. Objective To identify risk factors for readmission in patients with CHF. Methods We studied all admissions for patients with CHF during 2011 using a statewide discharge data set from Pennsylvania. The primary outcome was readmission to any Pennsylvania hospital within 30 days of discharge. Results Of 155,146 CHF patients admitted, 35,294 (22.8%) were readmitted within 30 days. Male sex, black race, coverage by Medicare, comorbidities, discharge to a skilled nursing facility or with a home nurse, a longer length of stay (LOS), admission from another facility, and emergent admission (all p < 0.001) were significant risk factors. Conclusions Comorbidities, sociodemographic factors including male sex, age, black race and Medicare coverage, and prolonged length of stay are associated with increased risk of readmission in patients with CHF.

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