ABSTRACT
The readmission is admission of a patient in hospital after he/she is discharged in a specific period. The prevalence of readmission in patients with congestive heart failure is more than other chronic diseases, and within 3-6 months after discharge in these patients, it is 10-50%. This study was conducted to determine the socioeconomic factors affecting the readmission of patients with congestive heart failure who were admitted in cardiology wards of Shaheed Beheshti University of Medical Sciences Hospitals in 2008. In this descriptive study, 110 male and female patients with congestive heart failure were selected with quota purposive sampling method, and were divided into two groups based on their admission background in the last 6 months prior to study onset. Data were collected by a questionnaire from the patients and referring to their files, and they were analyzed by deductive statistical tests. 61.8% of patients were readmitted to the hospital during the last 6 months ending to study onset; and economic problems, lifestyle and low income level affected the readmission rate of patients. This study confirms that socioeconomic factors, which some of them are amenable to change, dramatically increase the risk for multiple hospital readmissions among patients with CHF; and it advises that more attention to effective causes of its prevalence are needed
Subject(s)
Humans , Male , Female , Patient Readmission , Logistic Models , Surveys and Questionnaires , Socioeconomic FactorsABSTRACT
The prevalence of congestive heart failure [CHF] continues to rise and nearly 5 million people in the United States have CHF, with more than one-half million new cases diagnosed each year. The readmission rate within 3-6 months after discharge in these patients is 10-50 percent. The aim of this study was to determine factors contributing to readmission of patients with congestive heart failure [class 2 and 3] who were admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran 2009. In this correlation -descriptive study, 110 patients with congestive heart failure based on 2 and 3 New York Heart Association Classification [NYHA] were included. Subjects were selected by quota purposive sampling and were divided into two groups [readmission and no readmission]. Data were collected by a questionnaire. Content validity of the questionnaire was assessed by 10 nursing experts, 5 persons with congestive heart failure and 2 cardiologists. Reliability was measured by ted-retest [0/86]. Data were analyzed by SPSS 15. Results showed that,% 61.8 of samples was readmitted to the hospital during the previous 6 months period. In addition, two individual factors [age and literacy level] and two disease related factors [NYHA class and having other disease] contributed to readmissions. Therefore, age and higher NYHA class and having co morbidities had direct and also literacy level indirect relationship with readmissions. The readmission rate of patients with congestive heart failure in this study was high. Therefore, attention to contributing factors is needed