Suppawan Lertpongpakpoom
Division of Intensive Care Unit, Hatyai Hospital, Hat Yai District, Songkhla, Thailand
Title: Predictors of Hospital Readmission within 6 Month in Heart Failure Patients
Biography
Biography: Suppawan Lertpongpakpoom
Abstract
Readmission within 6 month after a hospital discharge can effectively indicate clinical outcomes of heart failure (HF) patients. Nowadays, clinical variables assessed prior to hospital discharge can serve as a predictor of hospital readmission. This study aimed to investigate a set of clinical variables which were assessed right before a hospital discharge in order to predict hospital readmission of HF patients within a month. A retrospective study was applied with a sample of 461 ADHF patients, aged 18 years and older, who were admitted to a tertiary hospital in Thailand due to acute heart failure (AHF) between January 1, 2016 to December 31, 2016. Reviews of annual medical records were conducted for data collection. The last clinical variables which were measured and recorded before hospital discharge included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and important laboratory investigations (creatinine, sodium, and potassium serum). Binary logistic regression was used for the multivariate analysis. There were female 53.6% (n= 247) and male 46.4 (n= 214), aged 21-97 years (66.9 + 14.9). The One hundred and eighty seven (40.6%) of sample in this study were readmissions with AHF within 6 month. Clinical variables, both blood pressure value (SBP and DBP) and important laboratory investigations (creatinine, sodium, and potassium serum), were not significantly associated with hospital readmission within 1 month. Only HR variable was a predictor of 1 month hospital readmission with AHF (OR 1.148; 95%CI 1.017-2.147, p < .05).