Incidence and predictors of rehospitalization of acute heart failure patients

International Heart Journal
Hidehiro KanekoTakeshi Yamashita

Abstract

Repeated hospitalization due to acute decompensated heart failure (HF) is a pandemic health problem in Japan. However, it is difficult to predict rehospitalization after discharge for acute decompensated HF. We used a single hospital-based cohort from the Shinken Database 2004-2012, comprising all new patients (n = 19,994) who visited the Cardiovascular Institute Hospital. A total of 282 patients discharged after their first acute HF admission were included in the analysis. The median follow-up period was 908 ± 865 days. Of these patients, rehospitalization due to worsening HF occurred in 55 patients. The cumulative rate of rehospitalization was 17.5% at 1 year, 21.4% at 2 years, and 25.5% at 3 years. Patients with rehospitalization were older than those without rehospitalization. Prevalence of diabetes mellitus (DM) was more common in patients with rehospitalization. Average heart rate (HR) tended to be higher in patients with rehospitalization. Loop diuretics were more commonly used at hospital discharge in patients with rehospitalization. Multivariate Cox regression analysis revealed that age ≥ 75 years, DM, HR ≥ 75 bpm at discharge, and use of loop diuretics at discharge were independent predictors for rehospitalization. Th...Continue Reading

References

Jul 1, 1974·The American Journal of Cardiology·W B KannelW P Castelli
Nov 18, 2000·Journal of the American College of Cardiology·H N SabbahS Goldstein
Jun 8, 2001·Circulation·C IribarrenJ V Selby
Jun 3, 2004·Journal of the American College of Cardiology·Begoña LópezJavier Díez
Sep 15, 2004·Journal of the American College of Cardiology·John M McCurleyMark C Haigney
May 26, 2005·Cardiovascular Research·Kirsten LeineweberOtto-Erich Brodde
Sep 20, 2005·Journal of the American College of Cardiology·Sharon Ann HuntUNKNOWN American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evalua
Dec 23, 2006·European Heart Journal·Michel KomajdaJohn G F Cleland
Mar 7, 2007·Circulation·C HeldUNKNOWN ONTARGET/TRANSCEND Investigators
Aug 28, 2007·European Journal of Heart Failure·Vic HasselbladKirkwood F Adams
Aug 28, 2007·Journal of the American College of Cardiology·Kim FoxUNKNOWN Heart Rate Working Group
Dec 22, 2007·European Journal of Heart Failure·Haïfa MahjoubChristophe Tribouilloy
May 27, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Shinya SuzukiTadanori Aizawa
Apr 3, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Seiichi MatsuoUNKNOWN Collaborators developing the Japanese equation for estimated GFR
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Aug 1, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Miyuki Tsuchihashi-MakayaUNKNOWN JCARE-CARD Investigators
Aug 6, 2009·Diabetologia·UNKNOWN Control GroupM Woodward
Nov 11, 2009·Circulation·Mastaneh Ahmadi-KashaniUNKNOWN INTRINSIC RV Study Investigators
Nov 12, 2009·Circulation. Heart Failure·Joseph S RossHarlan M Krumholz
Dec 19, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Peng-Sheng ChenShien-Fong Lin
Apr 1, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Masanori KonishiMitsuaki Isobe
May 27, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Miyuki Tsuchihashi-MakayaUNKNOWN JCARE-CARD Investigators
Nov 3, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Gerd Heusch
Jul 23, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Sanae HamaguchiUNKNOWN JCARE-CARD Investigators
Jun 6, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Sanae HamaguchiUNKNOWN JCARE-CARD Investigators
Dec 12, 2012·Journal of the American College of Cardiology·Mihai GheorghiadeRobert O Bonow
Feb 23, 2013·Heart and Vessels·Hidehiro KanekoTakeshi Yamashita

❮ Previous
Next ❯

Citations

Nov 9, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pierre-Géraud ClaretJeffrey J Perry
Apr 19, 2018·International Journal of Nursing Practice·Motohiro Sano, Tomoko Majima
Jul 25, 2019·European Heart Journal. Quality of Care & Clinical Outcomes·Michael SemanChristopher J Neil
Jul 14, 2020·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hidehiro KanekoIssei Komuro
Dec 18, 2020·Critical Care Medicine·Helene ValletAgnes Dechartres

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.