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- W3104249975 abstract "Readmissions within 30 days after heart failure (HF) hospitalisation are common and considered a quality care metric worldwide. Understanding reasons for such unplanned readmissions and their impact on 1-year mortality can inform resourcing and patient outcomes. To identify in hospitalised HF patients the reasons for unplanned readmissions within 30 days and hazard ratio (HR) for all-cause mortality at 1-year. Western Australia patients aged 25-94 years with an index (first-in-the-period) HF hospitalisation (principal diagnosis) between 2001-2016 and surviving 30 days post-discharge were identified from linked administrative data. Readmissions were categorised by their principal diagnosis. A Cox regression analysis, adjusted for age group, sex and admission year, determined the HR (95% confidence Iimits) of 1-year mortality in patients with 1 or more unplanned readmission. Overall, 33,054 patients hospitalised with HF were discharged and survived to 30 days, 53.5% males, mean age 75.0±13.4 (SD) years. Unplanned readmissions totalled 6,231, with 46.6% classified as cardiovascular and 14.0%, 1.8%, and 0.3% of patients having 1, 2, and 3+ readmissions respectively. The most common diagnoses were: HF (30.5%), vascular disease (14.8%) and respiratory diseases (10.4%). By 1-year, 6,126 (18.5%) had died. Patients with 1, 2 and 3+ readmission (versus 0) had an increasing HR for death of 1.84 (1.73, 1.95), 2.74 (2.39, 3.14) and 3.64 (2.63, 5.03) respectively. Recurrent HF is the major cause of readmission within 30 days of its index diagnosis. Better transition and multidisciplinary care for HF may alter the clinical course and improve patient outcomes" @default.
- W3104249975 created "2020-11-23" @default.
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- W3104249975 date "2020-01-01" @default.
- W3104249975 modified "2023-09-30" @default.
- W3104249975 title "028 Unplanned 30-Day Readmission and Risk of One-Year Mortality following Index Hospitalisation With Heart Failure: A Western Australia Linked Population Study" @default.
- W3104249975 doi "https://doi.org/10.1016/j.hlc.2020.09.035" @default.
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