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Readmission after hospitalization for heart failure in elderly patients in Chapidze Emergency Cardiology Center, Georgia

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posted on 23.06.2022, 07:47 authored by Tengiz VerulavaTengiz Verulava, R Jorbenadze, A Lordkipanidze, A Gongadze, M Tsverava, M Donjashvili
Purpose: Heart Failure (HF) is one of the leading mortality causes in elderly people. The purpose of this study is to assess readmission rates and reasons in elderly patients with HF. Design/methodology/approach: The authors explored medical records of elderly patients with HF (75 years and more) at Chapidze Emergency Cardiology Center (Georgia) from 2015 to 2019. The authors analyzed the structure of the cardiovascular diseases and readmission rates of hospitalized patients with HF (I50, I50.0 I50.1). A multivariate logistic regression model was used to identify factors, associated with readmission for any reason during 6–9 months after the initial hospitalization for HF. Findings: The major complication of cardiovascular diseases in elderly patients is HF (68.6%). Hospitalization rates due to HF in elderly patients have increased in recent years, which is associated with the population aging process. This trend will be most likely continue. Despite significant improvements in HF treatment, readmission rates are still high. HF is the most commonly revealed cause of readmission (48% of all readmissions). About 6–9 months after the primary hospitalization due to HF, readmission for any reason was 60%. Patients had concomitant diseases, including hypertension (43%), myocardial infarction (14%), diabetes (36%) and stroke (8%), affecting the readmission rate. Originality/value: HF remains an important problem in public health. During HF-associated hospitalizations, both cardiac and non-cardiac conditions should be addressed, which has the potential for health problems and disease progression. Some readmissions may be prevented by the proper selection of medicines and monitoring.

History

Publication Date

27/04/2022

Journal

Journal of Health Research

Volume

36

Issue

3

Pagination

9p. (p. 575-583)

Publisher

Emerald Publishing Limited

ISSN

0857-4421

Rights Statement

© Tengiz Verulava, Revaz Jorbenadze, Ana Lordkipanidze, Ana Gongadze, Michael Tsverava and Manana Donjashvili. Published in Journal of Health Research. Published by Emerald Publishing Limited. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/by/4.0/legalcode

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