SHM Converge Scientific Abstract ePoster Gallery-The Impact and Predictors of 30-Day Readmission Rate for Heart Failure Hospitalizations Among Elderly Patients

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This poster describes a nationwide analysis of 30-day readmissions after heart failure hospitalization among elderly patients using the 2020 National Readmission Database. The study included non-elective hospitalizations in patients aged 65 and older, excluding planned or elective readmissions. Baseline characteristics and in-hospital events were compared between index admissions and readmissions, and multivariate Cox regression was used to identify predictors.<br /><br />Key findings showed that about one in five elderly heart failure patients were readmitted within 30 days. The all-cause 30-day readmission rate was 18.9%, while heart failure–specific readmission was 2.9%. Mortality was 4.8% during the index admission and 9.4% among readmitted patients. Common causes of readmission included sepsis, acute on chronic congestive heart failure, acute kidney injury, pneumonia, COVID-19, acute on chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, and nonrheumatic aortic stenosis.<br /><br />Compared with index admissions, readmitted patients were older, had longer hospital stays, higher costs, and more frequent complications such as acute kidney injury, NSTEMI, cardiogenic shock, atrial fibrillation, ventricular tachycardia, hypotension, and sepsis. Significant predictors of readmission included older age, acute renal failure, hypertension, atrial fibrillation, oxygen dependence, anemia, and pulmonary disease.<br /><br />The study concludes that improved discharge planning, home-based interventions, optimized therapy, and multidisciplinary care coordination may help reduce readmissions in this high-risk population.

Asset Subtitle

Chikodili Nebuwa

Meta Tag

Author List Chikodili Nebuwa, Mohammad Hazique, Nneoma Agbo

Category Research

Concept Heart Failure Hospitalization

Concept 30-Day Readmission

Concept Elderly Patient

Concept Predictor

Concept Discharge Planning

Distinguished Non-Finalist

Presenter Organization Nuvance Health, Vassar Brothers Medical Center, NY

Presenting Author Chikodili Nebuwa

Track Geriatrics

Keywords

heart failure

30-day readmission

elderly patients

National Readmission Database

readmission predictors

acute kidney injury

atrial fibrillation

sepsis

hospitalization

discharge planning

Heart Failure Hospitalization

30-Day Readmission

Elderly Patient

Predictor

Discharge Planning