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Predictors of thirty-day readmission in nonagenarians presenting with acute heart failure with preserved ejection fraction: a nationwide analysis

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Journal of Geriatric Cardiology 2021年第12期18卷 1008-1018页

作者： ahmed Maraey Mahmoud Salem Nabila Dawoud Mahmoud Khalil ahmed elzanaty Hadeer Elsharnoby ahmed Younes ahmed Hashim Amit Alam Department of Internal Medicine the CHI St.Alexius HealthBismarckUSA Department of Internal Medicine University of North DakotaBismarckUSA Center for Advanced Heart and Lung Diseases Baylor University Medical CenterDallasUSA Department of Internal Medicine University of KentuckyLexingtonUSA Department of Internal Medicine Lincoln Medical Center Weil Cornell UniversityBronxUSA Department of Cardiovascular Medicine Tanta UniversityTantaEgypt Department of Cardiovascular Disease University of ToledoToledoUSA Faculty of Medicine Tanta UniversityTantaEgypt Department of Internal Medicine East Carolina UniversityGreenvilleUSA Faculty of Medicine Ain Shams UniversityCairoEgypt College of Medicine Texas A&M Health Science CenterDallasUSA

BACKGROUD Acute heart failure with preserved ejection fraction(HFpEF)is a common but poorly studied cause of hospital admissions among *** study aimed to evaluate predictors of thirty-day readmission,in-hospital mortality,length of stay,and hospital charges in nonagenarians hospitalized with acute *** Patients hospitalized between January 2016 and December 2018 with a primary diagnosis of diastolic heart failure were identified using ICD-10 within the Nationwide Readmission *** excluded patients who died in index admission,and discharged in December each year to allow thirty-day *** regression was performed on each ***-ables with P-value<0.2 were included in the multivariate regression *** From a total of 45,393 index admissions,43,646 patients(96.2%)survived to discharge.A total of 7,437 patients(15.6%)had a thirty-day *** cost of readmission was 43,265 United States dollars(USD)per *** predictors of thirty-day readmission were chronic kidney disease stage III or higher[adjusted odds ratio(aOR)=1.20,95%CI:1.07−1.34,P=0.002]and diabetes mellitus(aOR=1.18,95%CI:1.07−1.29,P=0.001).Meanwhile,female(aOR=0.90,95%CI:0.82−0.99,P=0.028)and palliative care encounter(aOR=0.27,95%CI:0.21−0.34,P<0.001)were associated with lower odds of *** arrhythmia(aOR=1.46,95%CI:1.11−1.93,P=0.007)and aortic stenosis(aOR=1.36,95%CI:1.05−1.76,P=0.020)were amongst predictors of in-hospital *** In nonagenarians hospitalized with acute HFpEF,thirty-day readmission is common and *** co-morbidities predict poor *** strategies need to be developed to improve the quality of care and prevent the poor outcome in nonagenarians.

关键词： fraction nationwide dollar

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