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Date Published: 10/02/2023
Abstract Views: 1088
Views PDF: 502
DOI: https://doi.org/10.51298/vmj.v520i1B.3850
Issue
Vol. 520 No. 1B (2022)
Section
Các bài báo
How to Cite
Triệu , K. V., & Hoàng , V. S. (2023). PROGNOSTIC FACTORS FOR 30-DAY HEART FAILURE-SPECIFIC READMISSION OR DEATH AFTER DISCHARGE. Vietnam Medical Journal, 520(1B). https://doi.org/10.51298/vmj.v520i1B.3850

PROGNOSTIC FACTORS FOR 30-DAY HEART FAILURE-SPECIFIC READMISSION OR DEATH AFTER DISCHARGE

Khánh Vinh Triệu 1,2, Văn Sỹ Hoàng 1,2,
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Cho Ray Hospital

Main Article Content

Abstract

Background: Readmission within 30 days is used as a standard quality metric for hospitalized patients, especially for patients with heart failure the rate of mortality within 30 days is 2 - 3% in Vietnam. Consequently, assessing prognostic factors for mortality or readmission within 30 days after discharge plays an important role in the management of heart failure patients. Objectives: Assessment of prognostic factors for mortality or readmission within 30 days after discharge of heart failure patients. Methods: Retrospective study, surveying heart failure patients in the Cardiology Department at Cho Ray Hospital from October 2021 to May 2022. Results: From October 2021 to May 2022, 111 patients were selected for the study. Among them, there are 56 male patients (accounting for 50.4%). The mean age was 62 ± 18.1 years. 27 patients (23.4%) had 30-day death or readmission after discharge. The risk factors for death or readmission within 30 days after discharge are: history of atrial fibrillation (OR = 7.45), history of heart failure (OR = 1.15), NYHA IV at discharge (OR = 5.47), ectopic beat on electrocardiogram (OR = 7.13), atrial fibrillation on electrocardiogram (OR = 7.13), high E/A ratio (OR = 1.813), high average E/e’ ratio (OR = 1.06), treatment with anticoagulants at discharge (OR = 4.55) and treatment with nitrate at discharge (OR = 2.69). A scale with 3 factors including a history of heart failure, NYHA IV at discharge, and atrial fibrillation on electrocardiogram which has an area under the receiver operating characteristic curve (AUC) is 0.7174 (95% confidence interval, 0.598 - 0.818) and a cut-point ≥1 has the sensitivity 70.27% and the specificity 62.96%. Conclusion: Heart failure patients have a high mortality or readmission rate within 30 days after discharge. Predicting heart failure patients with death or readmission risk within 30 days after discharge based on uncomplicated clinical factors to provide an optimal management approach.

Article Details

Keywords

Heart failure, mortality, readmission, prognostic factor

References

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