TY - JOUR
T1 - Factors Associated with Readmission of Cardiovascular Patients
T2 - A Cross-sectional Study in Iran
AU - Salimi, Marzie
AU - Bastani, Peivand
AU - Nasiri, Mahdi
AU - Karajizadeh, Mehrdad
AU - Ravangard, Ramin
PY - 2023
Y1 - 2023
N2 - Objective: Cardiovascular diseases are the main cause of death in both men and women around the world. Considering the heavy economic and social burden of readmission of cardiovascular patients on the patients and their families as well as the health care system, this study aimed at determining the factors associated with hospital readmission of cardiovascular patients in four public hospitals affiliated with Shiraz University of Medical Sciences, Iran. Methods: This cross-sectional study was conducted on cardiovascular patients hospitalized in public hospitals affiliated with Shiraz University of Medical Sciences, Iran. A total of 264 patients were studied, 132 of whom had been readmitted and were selected through the census method. The other 132 patients had not been readmitted and were randomly selected through stratified sampling proportional to the size and simple random sampling method. The patients were examined using a questionnaire developed according to previous studies and experts' opinions. To analyze the data collected, we used the t-test, chi-square, Fisher’s exact test, Mann-Whitney test, and logistic regression through the SPSS 23.0 software. Results: The results showed that the following factors were associated with the readmission of the cardiovascular patients: being hospitalized 6 to 9 months before the current admission (OR=19.03, P-value<0.001), having arrhythmia (OR=6.34, P-value<0.001), having right ventricular dysfunction (OR=4.99, P-value=0.019), having fluid and electrolyte disorder (OR=3.89, P-value=0<0.001), undergoing angiography (OR=2.96, P-value=0.003), having chest pain (OR=2.42, P-value=0.014), having cardiovascular and non-cardiovascular co-morbidities (OR=1.45, P-value=0<0.001), and having non-elective admission (OR=2.10, P-value=0.034). Conclusion: Given the influencing factors, management and follow-up of the patients, especially the high-risk ones, after discharge and providing them with the necessary training to prevent various complications could reduce their readmission rates.
AB - Objective: Cardiovascular diseases are the main cause of death in both men and women around the world. Considering the heavy economic and social burden of readmission of cardiovascular patients on the patients and their families as well as the health care system, this study aimed at determining the factors associated with hospital readmission of cardiovascular patients in four public hospitals affiliated with Shiraz University of Medical Sciences, Iran. Methods: This cross-sectional study was conducted on cardiovascular patients hospitalized in public hospitals affiliated with Shiraz University of Medical Sciences, Iran. A total of 264 patients were studied, 132 of whom had been readmitted and were selected through the census method. The other 132 patients had not been readmitted and were randomly selected through stratified sampling proportional to the size and simple random sampling method. The patients were examined using a questionnaire developed according to previous studies and experts' opinions. To analyze the data collected, we used the t-test, chi-square, Fisher’s exact test, Mann-Whitney test, and logistic regression through the SPSS 23.0 software. Results: The results showed that the following factors were associated with the readmission of the cardiovascular patients: being hospitalized 6 to 9 months before the current admission (OR=19.03, P-value<0.001), having arrhythmia (OR=6.34, P-value<0.001), having right ventricular dysfunction (OR=4.99, P-value=0.019), having fluid and electrolyte disorder (OR=3.89, P-value=0<0.001), undergoing angiography (OR=2.96, P-value=0.003), having chest pain (OR=2.42, P-value=0.014), having cardiovascular and non-cardiovascular co-morbidities (OR=1.45, P-value=0<0.001), and having non-elective admission (OR=2.10, P-value=0.034). Conclusion: Given the influencing factors, management and follow-up of the patients, especially the high-risk ones, after discharge and providing them with the necessary training to prevent various complications could reduce their readmission rates.
KW - Aortic atherosclerosis
KW - Cardiovascular diseases
KW - Factors
KW - Iran
KW - Patient Readmission
KW - Public Hospital
UR - http://www.scopus.com/inward/record.url?scp=85174727090&partnerID=8YFLogxK
U2 - 10.2174/0118749445245440230925051347
DO - 10.2174/0118749445245440230925051347
M3 - Article
AN - SCOPUS:85174727090
SN - 1874-9445
VL - 16
JO - Open Public Health Journal
JF - Open Public Health Journal
M1 - e187494452308280
ER -
