Published online Sep 26, 2022. doi: 10.4330/wjc.v14.i9.473
Peer-review started: March 25, 2022
First decision: May 31, 2022
Revised: June 16, 2022
Accepted: July 27, 2022
Article in press: July 27, 2022
Published online: September 26, 2022
Processing time: 179 Days and 3.9 Hours
Heart failure with preserved ejection fraction is a growing problem with a high risk for readmissions. Highlighting the cause and effect of this condition will further help in preparing guidelines to treat and prevent readmissions.
This study will help to understand important variables associated with readmission risks and burden on the American health care resource utilization.
The main research objective is to identify common hospital and patient related variables of increased or decreased risk of readmission in patients with heart failure with preserved ejection fraction. Identifying these variables can help clinicians as well as researchers to further modify these variables to improve the morbidity as well as financial burden.
This study used the National Readmissions Dataset for 2017 to obtain patients with heart failure with preserved ejection fraction using International Classification of Diseases (ICD) codes-10. This was a retrospective study. Cox regression analysis was used to identify the significant variables on read
This study clearly showed different hospital-related and patient-related variables which increased the risk of readmissions. Also, we found some interesting results showing the variables with decreased risk of readmissions. Some of these results align with recent study results but some others show different results which needs further research to identify new changes in the dynamics of this condition.
Our results show that the rates of readmissions are similar to recent studies which indicate that we have to work harder to reduce this rate. We were able to provide different variables which are easy to modify which can reduce the risk of readmissions. Our study showed discharge to rehabilitation facility has no effect on the rate of readmissions.
Further study on this important topic will be helpful to determine the ongoing change in managing this condition and decreasing its effect both on patients as well as the health care sector.