Factors related to early readmissions after acute heart failure: a nested case-control study

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dc.contributor.authorGarcía Gutiérrez, Susana
dc.contributor.authorVillanueva Etxebarria, Ane
dc.contributor.authorLafuente Guerrero, Iratxe
dc.contributor.authorRodriguez, Ibon
dc.contributor.authorLozano Bahamonde, Ainara
dc.contributor.authorMurga Eizagaechevarría, Nekane
dc.contributor.authorOrus Puigvert, Josefina
dc.contributor.authorCamacho, Emilia Rosa
dc.contributor.authorQuintana, José María
dc.contributor.authorQuiros, Raul
dc.date.accessioned2025-06-02T14:54:14Z
dc.date.available2025-06-02T14:54:14Z
dc.date.issued2023-01-12
dc.date.updated2025-06-02T14:54:14Z
dc.description.abstractAIMS: To describe the main characteristics of patients who were readmitted to hospital within 1 month after an index episode for acute decompensated heart failure (ADHF). METHODS AND RESULTS: This is a nested case-control study in the ReIC cohort, cases being consecutive patients readmitted after hospitalization for an episode of ADHF and matched controls selected from those who were not readmitted. We collected clinical data and also patient-reported outcome measures, including dyspnea, Minnesota Living with Heart Failure Questionnaire (MLHFQ), Tilburg Frailty Indicator (TFI) and Hospital Anxiety and Depression Scale scores, as well as symptoms during a transition period of 1 month after discharge. We created a multivariable conditional logistic regression model. Despite cases consulted more than controls, there were no statistically significant differences in changes in treatment during this first month. Patients with chronic decompensated heart failure were 2.25 [1.25, 4.05] more likely to be readmitted than de novo patients. Previous diagnosis of arrhythmia and time since diagnosis ≥ 3 years, worsening in dyspnea, and changes in MLWHF and TFI scores were significant in the final model. CONCLUSION: We present a model with explanatory variables for readmission in the short term for ADHF. Our study shows that in addition to variables classically related to readmission, there are others related to the presence of residual congestion, quality of life and frailty that are determining factors for readmission for heart failure in the first month after discharge. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03300791. First registration: 03/10/2017.en
dc.description.sponsorshipThis study has been funded by the Carlos III Heath Institute through the project “PI15/01343” (co-funded by the European Regional Development Fund/European Social Fund “Investing in your future”) and by the Basque Government Health Department (2015111003)and the Research Committee of Hospital Galdakao-Usansolo (OSIBG18/203)en
dc.identifier.citationGarcia-Gutierrez, S., Villanueva, A., Lafuente, I., Rodriguez, I., Lozano-Bahamonde, A., Murga, N., Orus, J., Camacho, E. R., Quintana, J. M., & Quiros, R. (2023). Factors related to early readmissions after acute heart failure: a nested case-control study. BMC cardiovascular disorders, 23(1), 17. https://doi.org/10.1186/S12872-022-03029-2
dc.identifier.doi10.1186/S12872-022-03029-2
dc.identifier.eissn1471-2261
dc.identifier.urihttps://hdl.handle.net/20.500.14454/2907
dc.language.isoeng
dc.publisherNLM (Medline)
dc.rights© The Author(s) 2023
dc.subject.otherAcute heart failure
dc.subject.otherPROMS
dc.subject.otherReadmissions
dc.subject.otherTransitional period
dc.titleFactors related to early readmissions after acute heart failure: a nested case-control studyen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.endPage
oaire.citation.issue1
oaire.citation.startPage17
oaire.citation.titleBMC cardiovascular disorders
oaire.citation.volume23
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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