One-year readmissions for circulatory diseases and in-hospital mortality after an index episode of heart failure in elderly patients. A nationwide data from public hospitals in Spain between 2016 and 2018
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany..
INTRODUCTION: Heart failure (HF) is one of the leading causes of hospitalization and death in elderly patients. However, there is limited evidence on readmission and mortality 1-year after discharge for HF.
METHODS: Retrospective analysis of the Minimum Basic Data Set, including HF episodes, discharged from Spanish hospitals between 2016 and 2018 in ≥ 75 years. We calculated: (a) the rate of readmissions due to circulatory system diseases (CSD) 365 days after index episode; (b) in-hospital mortality in readmissions; and (c) predictors of mortality and readmission.
RESULTS: We included 178,523 patients (59.2% women) aged 85.1 ± 5.5 years. The most frequent comorbidities were arrhythmias (56.0%) and renal failure (39.5%). During the follow-up, 48,932 patients (27.4%) had at least one readmission for CSD and a crude rate of 40.2%, the most frequent one HF (52.8%). The median between the date of readmission and discharge from the last admission was 70 days [IQI 24; 171] for the first readmission. The most relevant predictors of the number of readmissions were valvular heart disease and myocardial ischemia. During the readmissions, 26,757 patients (79.1%) died, representing a cumulative in-hospital mortality of 47,945 (26.9%). The factors in the index episode predictors of mortality during readmissions were cardio-respiratory failure and stroke. The number of readmissions was a risk factor for in-hospital mortality (OR 1.13; 95% CI 1.11-1.14).
CONCLUSIONS: The readmission rate for CSD 1-year after the index episode of HF in patients ≥ 75 years was 28.4%. The cumulative in-hospital mortality rate during the readmissions was 26.9%, and the number of rehospitalizations was identified as one of the main predictors of mortality.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:112 |
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| Enthalten in: |
Clinical research in cardiology : official journal of the German Cardiac Society - 112(2023), 8 vom: 12. Aug., Seite 1119-1128 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Esteban-Fernández, Alberto [VerfasserIn] |
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| Links: |
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| Themen: |
Elderly patients |
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| Anmerkungen: |
Date Completed 21.07.2023 Date Revised 21.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00392-023-02202-7 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM355458330 |
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| 100 | 1 | |a Esteban-Fernández, Alberto |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a One-year readmissions for circulatory diseases and in-hospital mortality after an index episode of heart failure in elderly patients. A nationwide data from public hospitals in Spain between 2016 and 2018 |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 21.07.2023 | ||
| 500 | |a Date Revised 21.07.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany. | ||
| 520 | |a INTRODUCTION: Heart failure (HF) is one of the leading causes of hospitalization and death in elderly patients. However, there is limited evidence on readmission and mortality 1-year after discharge for HF | ||
| 520 | |a METHODS: Retrospective analysis of the Minimum Basic Data Set, including HF episodes, discharged from Spanish hospitals between 2016 and 2018 in ≥ 75 years. We calculated: (a) the rate of readmissions due to circulatory system diseases (CSD) 365 days after index episode; (b) in-hospital mortality in readmissions; and (c) predictors of mortality and readmission | ||
| 520 | |a RESULTS: We included 178,523 patients (59.2% women) aged 85.1 ± 5.5 years. The most frequent comorbidities were arrhythmias (56.0%) and renal failure (39.5%). During the follow-up, 48,932 patients (27.4%) had at least one readmission for CSD and a crude rate of 40.2%, the most frequent one HF (52.8%). The median between the date of readmission and discharge from the last admission was 70 days [IQI 24; 171] for the first readmission. The most relevant predictors of the number of readmissions were valvular heart disease and myocardial ischemia. During the readmissions, 26,757 patients (79.1%) died, representing a cumulative in-hospital mortality of 47,945 (26.9%). The factors in the index episode predictors of mortality during readmissions were cardio-respiratory failure and stroke. The number of readmissions was a risk factor for in-hospital mortality (OR 1.13; 95% CI 1.11-1.14) | ||
| 520 | |a CONCLUSIONS: The readmission rate for CSD 1-year after the index episode of HF in patients ≥ 75 years was 28.4%. The cumulative in-hospital mortality rate during the readmissions was 26.9%, and the number of rehospitalizations was identified as one of the main predictors of mortality | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Elderly patients | |
| 650 | 4 | |a Heart failure | |
| 650 | 4 | |a In-hospital mortality | |
| 650 | 4 | |a One-year follow-up | |
| 650 | 4 | |a Readmission | |
| 700 | 1 | |a Anguita-Sánchez, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Bonilla-Palomas, Juan Luis |e verfasserin |4 aut | |
| 700 | 1 | |a Anguita-Gámez, María |e verfasserin |4 aut | |
| 700 | 1 | |a Rosillo, Nicolás |e verfasserin |4 aut | |
| 700 | 1 | |a Del Prado, Náyade |e verfasserin |4 aut | |
| 700 | 1 | |a Bernal, José Luis |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández-Pérez, Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández-Rozas, Inmaculada |e verfasserin |4 aut | |
| 700 | 1 | |a Gómez-Doblas, Juan José |e verfasserin |4 aut | |
| 700 | 1 | |a Pérez-Villacastin, Julián |e verfasserin |4 aut | |
| 700 | 1 | |a Elola, Francisco Javier |e verfasserin |4 aut | |
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