Author + information
- Hafeez Hassana,b,
- Shilpkumar Aroraa,b,
- Saman Setareh-Shenasa,b,
- Nilay Patela,b,
- Robert Kornberga,b and
- Umesh Gidwania,b
Introduction: Heart failure(HF)is the most common cause of hospital admissions in older population. More than half of the HF patients has preserved ejection fraction and there is limited data on the etiologies and trends of readmission in these patients.
Methods: The study cohort was derived from the National Readmission Data (NRD) 2013, a subset of the Healthcare Cost and Utilization Project (HCUP). HFpEF was identified using appropriate International Classification of Diseases, 9th Revision (ICD-9-CM) code 428.3x in primary diagnosis field. 30 day readmission etiologies were identified by ICD 9 code in primary diagnosis field.
Results: Our analysis included 95,144 patients. 19.54% patients were readmitted within 30 days. Acute HF was the most common cause of readmission(30.36%), followed by ischemic heart disease(3.1%)and atrial fibrillation(2.4%). Acute respiratory failure(4.5%), pneumonia(4%) and COPD(3.2%), septicemia(5.2%), acute kidney injury(5.34%), stroke/TIA(1.9%) and DVT/PE(0.66%)were responsible for frequent readmissions. First 25% & 50% readmission occurred during 8 & 15 days respectively in HFpEF patients.
Conclusions: We identified the most common etiologies of 30-day readmission in patients with HFpEF. Multi-disciplinary approach to prevent these conditions can limit 30 day readmissions.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Acute Heart Failure: Evaluating Strategies to Prevent Readmissions
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1163-271
- 2017 American College of Cardiology Foundation