The Causes of Readmission of Heart Failure Patients Admitted to Fatemeh Zahra Heart Center in Sari, 2022

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Baghooli Omid; Akhlaghian Tab Shadi; Taghavi Seyed Morteza; Bagheri-Nesami Masoumeh

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Journal Paper

Paper Information

Journal: Journal of Mazandaran University of Medical Sciences Year:2023 | Volume:33 | Issue:226 Page(s): 119-128

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Title

The Causes of Readmission of Heart Failure Patients Admitted to Fatemeh Zahra Heart Center in Sari, 2022

Author(s)

Baghooli Omid | Akhlaghian Tab Shadi | Taghavi Seyed Morteza | Bagheri-Nesami Masoumeh | Issue Writer Certificate

Keywords

heart failureQ4

patient readmissionQ4

causalityQ4

Abstract

Background and purpose: Despite so many advances in the treatment of heart failure, the rate of readmission is still relatively high which imposes additional costs on patients and hospitals. Therefore, this study was designed and implemented to determine the causes of rehospitalization of heart failure patients admitted to Fatemeh Zahra Heart Center in Sari during 2022. Materials and methods: In this descriptive study, 309 patients with heart failure, who were admitted at Fatemeh Zahra Heart center for the second time, were selected by available sampling method during 2022. The data collection tool was a questionnaire which included demographic information as well as factors associated with readmission of heart failure patients. The qualitative content validity of the questionnaire was checked and confirmed by five cardiologists. The samples were analyzed using SPSS V21 applying descriptive statistics of relative frequency, absolute frequency, mean, and standard deviation. Results: Dyspnea was reported in 88% of the patients, and according to the NYHA Class evaluation criteria, the highest level of severity was 2 (in 44% of cases). An increase in chest pain before rehospitalization was also reported in 30% of the patients, and according to the CCS Class evaluation criteria, the highest level of severity was 2 (in 54% of cases) Failure to comply with the rehabilitation program was observed among 74% of patients who had a rehabilitation program. The other main reasons for readmission of heart failure patients in order of priority were failure to comply with medication regimen (28% of patients), palpitation (28%), stressful event (22%), heavy activity (21%), non-adherence to food diet (21%), smoking (7%), infectious disease (4%), discontinuation of medication (4%), and alcohol use (3%). Conclusion.: Considering that dyspnea was the main reason for rehospitalization of heart failure patients, and non-compliance with the rehabilitation program, non-observance of the drug, and food diet regimen accounted for a high percentage of readmission, it is recommended to emphasize compliance with the rehabilitation program due to its great impact on improving the respiratory condition. Furthermore, it is beneficial to educate patients on adhereing to their diet and medication, using consultations, and following the doctors' recommendations after discharge. This can be effective in preventing rehospitalization of patients and improving the quality of their life.

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