ĐIỂM VÀ TỈ LỆ TÁI NHẬP VIỆN TRONG VÒNG 30 NGÀY CỦA BỆNH NHÂN SUY TIM CẤP TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Introduction: Acute heart failure (AHF) carries a high risk of readmission, significantly increasing the costs associated with care and treatment. With advancements in contemporary heart failure management, the clinical and paraclinical characteristics, as well as readmission rates, may differ substantially from previous trends. Therefore, describing these characteristics and determining the 30-day readmission rate is essential to provide an updated and accurate perspective on the disease's current state. Objective: To identify the clinical and paraclinical characteristics and the 30-day readmission rate of patients with acute heart failure. Subjects and Methods: A cross-sectional descriptive study was conducted on 120 patients diagnosed with acute heart failure between February 2024 and August 2024 at the Cardiology Department of Nguyen Tri Phuong Hospital. Clinical and paraclinical characteristics and readmission information were collected from medical records and telephone interviews. Results: From February 2024 to August 2024, 120 patients participated in the study with a mean age of 67.1 ± 13.8 years, and 53.3% were male. The three most common causes of heart failure were coronary artery disease (57.5%), valvular heart disease (18.3%), and cardiomyopathy (16.7%). The most prevalent precipitating factor was infection (28.3%). The three most common comorbidities and cardiovascular risk factors were dyslipidemia (75.8%), ischemic heart disease (63.3%), and hypertension (52.5%). Among the patients, 31.7% were newly diagnosed with acute heart failure. The median ejection fraction was 37.1%. Over half of the patients had heart failure with reduced ejection fraction (HFrEF). At discharge, the prescription rates for evidence-based HFrEF therapies were as follows: RAAS inhibitors (92.7%), aldosterone antagonists (89.7%), SGLT2 inhibitors (85.3%), and beta-blockers (60.3%). The 30-day readmission rate for the study population was 20.8%. Conclusion: Coronary artery disease was the most common cause of heart failure, while infection was the most frequent precipitating factor for acute heart failure. Despite advancements in heart failure treatment and active management, the 30-day readmission rate post-discharge remained high at 20.8%.