Predictors of Rehospitalization in Patients Admitted With Heart Failure in Abeokuta, Nigeria: Data From the Abeokuta Heart Failure Registry

Abstract Objective We sought, for the first time, to examine the rate and predictors of hospital readmission in patients discharged after an episode of heart failure (HF) in Nigeria. Methods This was a hospital-based, prospective, observational study that used the data from the Abeokuta HF Registry....

Full description

Saved in:
Bibliographic Details
Published in:Journal of cardiac failure 2014-11, Vol.20 (11), p.833-840
Main Authors: Ogah, Okechukwu S., MBBS, MSc, FWACP, FESC, FACC, Stewart, Simon, PhD, NFESC, FAHA, Falase, Ayodele O., MBBS, FWACP, FMCP, FRCP, Akinyemi, Joshua O., BTec, MSc, Adegbite, Gail D., MBBS, Alabi, Albert A., MBBS, Ajani, Akinlolu A., MBBS, Adesina, Julius O., MBBS, Durodola, Amina, MBBS, Sliwa, Karen, MD, PhD, FESC, FACC
Format: Article
Language:English
Subjects:
Cardiovascular
Disease Progression
Female
Follow-Up Studies
Heart failure
Heart Failure - epidemiology
Heart Failure - therapy
Humans
Incidence
Male
Middle Aged
Nigeria
Nigeria - epidemiology
outcome
Patient Readmission - trends
predictors
Prognosis
Prospective Studies
Registries
rehospitalization
survival
Survival Rate - trends
Time Factors
Urban Population
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Objective We sought, for the first time, to examine the rate and predictors of hospital readmission in patients discharged after an episode of heart failure (HF) in Nigeria. Methods This was a hospital-based, prospective, observational study that used the data from the Abeokuta HF Registry. Results Overall, 1.53% (95% confidence interval [CI] 0.58–4.02) and 12.2% (95% CI 8.88–16.8) of patients were re-hospitalized at least once within 30 days and 6 months, respectively (5.3% had multiple readmissions); the latter comprised 21/138 men (15.2%) and 11/124 (8.9%) women. A total of 11 (4.2%) died (all of whom had been rehospitalized). Worsening HF (24 cases, 75%) was the commonest reason for readmission. Among others, factors associated with rehospitalization included presence of mitral regurgitation (odds ratio [OR] 2.37, 95% CI 1.26–4.46), age ≥60 years (OR 2.04, 95% CI 0.96–3.29), presence of tricuspid regurgitation (OR 1.77, 95% CI 0.86–3.61), and presence of atrial fibrillation (OR 1.34, 95% CI 0.59–3.03). However, on an adjusted basis, only female sex (adjusted OR 0.33, 95% CI 0.14–0.79; P  = .014 vs male) and body mass index
ISSN:1071-9164
1532-8414
DOI:10.1016/j.cardfail.2014.08.012