Incidence and Risk Factors of 28-Day Hospital Readmission in Heart Failure Patients: A Retrospective Study
Keywords:
Incidence, 28-day readmission, heart failure, risk factorsAbstract
Objective : To study the incidence and risk factors of 28-day readmission among patients with heart failure.
Methods : A retrospective study was conducted. The sample consisted of heart failure patients admitted to the medical ward at Mahasarakham Hospital between 2021-2023. Systematic random sampling was used to select 231 cases. Data was collected from medical records using a clinical data collection form. Descriptive statistics and logistic regression analysis were used for data analysis.
Results : The incidence rates were 3.56, 5.49, and 4.67 percentage, respectively. Risk factors for readmission in heart failure patients included: age over 60 years (AOR 2.83, 95%CI 1.29-6.20), absence of caregiver (AOR 2.60, 95%CI 1.22-5.23), chronic kidney disease (AOR 2.32, 95%CI 1.19-4.54), other cardiac conditions (AOR 2.39, 95%CI 1.22-4.69), hemoglobin level less than 10 g/dl (AOR 2.02, 95%CI 1.07-3.82), and body mass index less than 18.5 (AOR 2.75, 95%CI 1.37-5.54).
Conclusion : The incidence of readmission among heart failure patients was relatively high. Key risk factors included older age, lack of caregivers, comorbidities such as chronic kidney disease and other heart conditions, low hemoglobin levels, and underweight status. Patients with these risk factors should receive close monitoring and follow-up to reduce the likelihood of readmission.
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