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• W2744908982 abstract "Introduction: Depression is highly prevalent among heart failure (HF) patients. It is well-known that it has several adverse effects among these patients through a variety of means; including medication non-compliance and impairment of self-care. However, the direct impact of depression as a predictor of 30-day readmission rate in patients with HF admitted for acute heart failure syndrome (AHFS) has not been well clarified. Objective: To assess the prevalence of depression and its ability to predict 30-day readmission rate and length of stay (LOS) among patients with AHFS. Methods: A retrospective analysis of 2,017 patients admitted to a tertiary hospital for AHFS from January, 2005 to December, 2015 defined by ICD-9 codes for congestive HF and depressive disorder. Results: The prevalence of depression among HF patients admitted for AHFS was 3.9% (78 patients out of 2,017), of which, 70% were females versus 30% males, and 82.3% had HFrEF versus 17.7% had HFpEF. Among patients admitted for AHFS, 30-day readmission rate was 25.3% in patients with depression versus 16.6% in patients without depression (OR:1.7, 95% CI: 1.1–2.9, P = .04). LOS was higher in patients with depression compared to those without depression (6.1 days versus 5.8 days, respectively; P = .6). Among patients admitted for AHFS with HFrEF, 30-day readmission rate was 39.4% in patients with depression versus 22.6% in those without depression (P = .004) (Table 1). The LOS among patients with HFrEF who had depression was 6.5 versus 5.7 in those without depression (P = .4). Furthermore, female patients with HFrEF who had depression and were admitted for AHFS were found to have a significant higher 30-day readmission rate of 40.9% compared to 13.8% in female group who didn't have depression (P = .001), and LOS was 6.8 versus 6.2 days respectively (P = .7). Among patients admitted for AHFS with HFpEF, 30-day readmission rate was 15.6% in patients with depression versus 16.5% in those without depression (P = .9). LOS was 6.1 days in both groups (P = .9). (Table 2). Conclusion: Having depression upon admission among patients with AHFS can be a significant factor predicting their 30-day readmission rate. These findings were more pronounced among patients with HFrEF, especially female ones. LOS was generally higher among HF patients with depression, but it didn't achieve statistical significance. Depression counseling is recommended and might aid in decreasing 30-day readmission rate and LOS among HF patients.Table 1Table 2Table 2" @default.
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• W2744908982 date "2017-08-01" @default.
• W2744908982 modified "2023-09-25" @default.
• W2744908982 title "Depression Effects the 30-day Readmission Rate in Patients Admitted for an Acute Heart Failure Syndrome" @default.
• W2744908982 doi "https://doi.org/10.1016/j.cardfail.2017.07.239" @default.
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