Medical and socioenvironmental predictors of hospital readmission in patients with congestive heart failure

摘要: Abstract Background Patients with chronic congestive heart failure (CHF) require frequent rehospitalization because of the exacerbation CHF. It is clinical importance to determine predicting factors for readmission reduce this likelihood. Previous studies have focused primarily on demographic and medical characteristics in selected subsets patients. Therefore, within a broad cohort consecutively hospitalized patients, we sought identify not only predictors but also socioenvironmental associated readmission. Methods We assessed (age, sex), (etiology CHF, New York Heart Association functional class, left ventricular ejection fraction, previous admission length hospital stay, comorbidity, medications), variables (occupation, financial resources, living alone, follow-up visits) 230 patients discharged diagnosis CHF recorded Results Within 1 year after discharge, 81 (35%) were readmitted. Five variables, including poor visits (odds ratio [OR] 4.9, 95% CI 2.0-11.8), (OR 3.3, 1.8-6.1), no occupation 2.6, 1.2-5.5), longer stay 3.2, 1.2-8.5), hypertension 2.0, 1.1-3.7), identified as significant independent by multivariate logistic regression analysis. Conclusions Our support deterioration Therefore interventions decrease should target social management all (Am J 2001;142:e7.)