Article ; Online: One-year readmissions for circulatory diseases and in-hospital mortality after an index episode of heart failure in elderly patients. A nationwide data from public hospitals in Spain between 2016 and 2018.
Clinical research in cardiology : official journal of the German Cardiac Society
2023 Volume 112, Issue 8, Page(s) 1119–1128
Abstract: Introduction: Heart failure (HF) is one of the leading causes of hospitalization and death in elderly patients. However, there is limited evidence on readmission and mortality 1-year after discharge for HF.: Methods: Retrospective analysis of the ... ...
| Abstract | Introduction: Heart failure (HF) is one of the leading causes of hospitalization and death in elderly patients. However, there is limited evidence on readmission and mortality 1-year after discharge for HF. Methods: Retrospective analysis of the Minimum Basic Data Set, including HF episodes, discharged from Spanish hospitals between 2016 and 2018 in ≥ 75 years. We calculated: (a) the rate of readmissions due to circulatory system diseases (CSD) 365 days after index episode; (b) in-hospital mortality in readmissions; and (c) predictors of mortality and readmission. Results: We included 178,523 patients (59.2% women) aged 85.1 ± 5.5 years. The most frequent comorbidities were arrhythmias (56.0%) and renal failure (39.5%). During the follow-up, 48,932 patients (27.4%) had at least one readmission for CSD and a crude rate of 40.2%, the most frequent one HF (52.8%). The median between the date of readmission and discharge from the last admission was 70 days [IQI 24; 171] for the first readmission. The most relevant predictors of the number of readmissions were valvular heart disease and myocardial ischemia. During the readmissions, 26,757 patients (79.1%) died, representing a cumulative in-hospital mortality of 47,945 (26.9%). The factors in the index episode predictors of mortality during readmissions were cardio-respiratory failure and stroke. The number of readmissions was a risk factor for in-hospital mortality (OR 1.13; 95% CI 1.11-1.14). Conclusions: The readmission rate for CSD 1-year after the index episode of HF in patients ≥ 75 years was 28.4%. The cumulative in-hospital mortality rate during the readmissions was 26.9%, and the number of rehospitalizations was identified as one of the main predictors of mortality. |
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| MeSH term(s) | Aged ; Humans ; Female ; Male ; Patient Readmission ; Retrospective Studies ; Hospital Mortality ; Spain/epidemiology ; Heart Failure/therapy ; Risk Factors ; Hospitals, Public |
| Language | English |
| Publishing date | 2023-04-11 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 2213295-8 |
| ISSN | 1861-0692 ; 1861-0684 |
| ISSN (online) | 1861-0692 |
| ISSN | 1861-0684 |
| DOI | 10.1007/s00392-023-02202-7 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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