Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (4): 63-69.doi: 10.6040/j.issn.1671-7554.0.2020.1439

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Readmission prediction of 152 non-selective adult patients with chronic heart failure

LAN Hongtao1,2, JIA Xu3,4, TONG Zhoujie3,4, ZHENG Man5, HU Boang3,4, ZHONG Ming3,4, ZHANG Wei3,4, WANG Zhihao1,2   

  1. 1. Department of Geriatric Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Key Laboratory of Cardiovascular Proteomics, Jinan 250012, Shandong, China;
    3. Department of Cardiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    4. Key Laboratory of Cardiovascular Remodeling and Function, Ministry of Education and National Health Commission, Jinan 250012, Shandong, China;
    5. Department of Cardiology, Dongying People s Hospital, Dongying 257100, Shandong, China
  • Published:2021-04-30

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Abstract: Objective To explore the influencing factors of readmission of patients with chronic heart failure(CHF). Methods A total of 152 CHF cases treated during May 2016 and Dec. 2018 were enrolled in this retrospective study, including 107 males and 45 females, age 26 to 93 years, average 70.95±14.08 years. Statistical analyses of clinical indicators, laboratory tests and drug use were performed with SPSS 20.0 software. CHF patients were divided into recurrence and non-recurrence groups for bivariate Logistic regression analysis. The readmission interval of patients with multiple admissions was analyzed with linear regression analysis. Results The recurrence rate of CHF was 58.6%. Compared with the non-recurrence group, the recurrence group tended to have a history of coronary heart disease(CHD), abnormal NT-proBNP and creatinine level, and no consumption of angiotensin converting enzyme inhibitor(ACEI)drugs, and the differences were statistically significant(P<0.05). Bivariate Logistic regression analysis revealed history of CHD(OR=3.728, 95%CI=1.902-7.308), use of digoxin(OR=1.320, 95%CI=1.034-1.686)and abnormal NT-proBNP(OR=4.854, 95%CI=2.010-11.723)were risk factors of recurrence, while increased diastolic blood pressure(DBP)(OR=0.982,95%CI=0.971-0.993)was a protective factor. Linear regression analysis showed age(β=-1.501, P=0.001)and history of diabetes(β=-0.810, P=0.036)were negatively correlated with the interval of readmission; gender(β=1.231, P=0.001), heart rate(HR, β=1.546, P=0.001), and taking of aspirin(β=0.477, P=0.001)were associated with prolonged interval of readmission. Conclusion There is a nonstandard administration of CHF patients and the recurrence rate is high. NT-proBNP, heart rate and diastolic blood pressure should be closely monitored to reduce the recurrence rate of CHF.

Key words: Chronic heart failure, Readmission rate, Recurrence, Interval of readmission

CLC Number: 

  • R541.6
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