Biochemical Markers in Patients with Readmission for Congestive Heart Failure

Namat, Razan Al; Constantin, Mihai; Miftode, Ionela Larisa; Manta, Andrei; Petris, Antoniu; Miftode, Radu; Costache, Alexandru Dan; Iliescu, Dan; Costache, Irina Iuliana

Razan Al Namat, Mihai Constantin, Ionela Larisa Miftode, Andrei Manta, Antoniu Petris, Radu Miftode, Alexandru Dan Costache, Dan Iliescu, Irina Iuliana Costache

Biochemical Markers in Patients with Readmission for Congestive Heart Failure

Abstract:

Repetitive or recurrent hospitalizations are a general major health issue in patients with chronic disease. Congestive heart failure, is associated with a high incidence and presence of early rehospitalization, but variables in order to identify patients at increased risk and also an analysis of potentially remediable factors contributing to readmission have not been previously reported and it remains still a difficult problem. We retrospectively assessed 100 patients aged between 48-85 years old, of which 75% were men, who had been hospitalized with documentation of congestive heart failure in St. Spiridon County Emergency Hospital. They were hospitalized between 2010-2017. Even if recurrent heart failure was the most common cause for readmission or rehospitalization, other cardiac disorders and noncardiac illnesses were also accounted for readmission. Predictive factors of an increased probability of readmission included prior patient’s medical heart failure history, heart failure decompensation precipitated or accelerated by an ischaemic episode, atrial fibrillation or uncontrolled hypertension. Factors contributing to preventable readmissions included noncompliance with medications or diet, inadequate discharge planning or follow-up, failure of both social support system and the seek of a promp medical attention when symptoms reappeared. We also identified an inappropriate colaboration with family doctors especially for the patients from rural areas. Patients were more likely to cite side effects of prescribed medications rather than nonadherence as a precipitating factor for readmission. Thus, we can appreciate that early rehospitalization in patients with congestive heart failure may be avoidable in up to 50% of cases. Identification of high risk patients is possible and also necessary shortly after admission in order to identify nonpharmacological interventions designed to decrease readmission frequency.

Keywords:
congestive heart failure; ischemic heart disease; atrial fibrilation; dilated cardiomyopathy

Issue: 2018, Volume 69, Issue 7

Pages: 1687-1691

Publication date: 2018/8/15

https://doi.org/10.37358/RC.18.7.6395

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
NAMAT, R.A., CONSTANTIN, M., MIFTODE, I.L., MANTA, A., PETRIS, A., MIFTODE, R., COSTACHE, A.D., ILIESCU, D., COSTACHE, I.I., Biochemical Markers in Patients with Readmission for Congestive Heart Failure, Rev. Chim., 69(7), 2018, 1687-1691.

Vancouver
Namat RA, Constantin M, Miftode IL, Manta A, Petris A, Miftode R, Costache AD, Iliescu D, Costache II. Biochemical Markers in Patients with Readmission for Congestive Heart Failure. Rev. Chim.[internet]. 2018 Jul;69(7):1687-1691. Available from: https://doi.org/10.37358/RC.18.7.6395

APA 6th edition
Namat, R.A., Constantin, M., Miftode, I.L., Manta, A., Petris, A., Miftode, R.,... Costache, I.I. (2018). Biochemical Markers in Patients with Readmission for Congestive Heart Failure. Revista de Chimie, 69(7), 1687-1691. https://doi.org/10.37358/RC.18.7.6395

Harvard
Namat, R.A., Constantin, M., Miftode, I.L., Manta, A., Petris, A., Miftode, R., Costache, A.D., Iliescu, D., Costache, I.I. (2018). 'Biochemical Markers in Patients with Readmission for Congestive Heart Failure', Revista de Chimie, 69(7), pp. 1687-1691. https://doi.org/10.37358/RC.18.7.6395

IEEE
R.A. Namat, M. Constantin, I.L. Miftode, A. Manta, A. Petris, R. Miftode, A.D. Costache, D. Iliescu, I.I. Costache, "Biochemical Markers in Patients with Readmission for Congestive Heart Failure". Revista de Chimie, vol. 69, no. 7, pp. 1687-1691, 2018. [online]. https://doi.org/10.37358/RC.18.7.6395

Text
Razan Al Namat, Mihai Constantin, Ionela Larisa Miftode, Andrei Manta, Antoniu Petris, Radu Miftode, Alexandru Dan Costache, Dan Iliescu, Irina Iuliana Costache,
Biochemical Markers in Patients with Readmission for Congestive Heart Failure,
Revista de Chimie,
Volume 69, Issue 7,
2018,
Pages 1687-1691,
ISSN 2668-8212,
https://doi.org/10.37358/RC.18.7.6395.
(https://revistadechimie.ro/Articles.asp?ID=6395)
Keywords: congestive heart failure; ischemic heart disease; atrial fibrilation; dilated cardiomyopathy

RIS
TY - JOUR
T1 - Biochemical Markers in Patients with Readmission for Congestive Heart Failure
A1 - Namat, Razan Al
A2 - Constantin, Mihai
A3 - Miftode, Ionela Larisa
A4 - Manta, Andrei
A5 - Petris, Antoniu
A6 - Miftode, Radu
A7 - Costache, Alexandru Dan
A8 - Iliescu, Dan
A9 - Costache, Irina Iuliana
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2018
VL - 69
IS - 7
SP - 1687
EP - 1691
UR - https://doi.org/10.37358/RC.18.7.6395
KW - congestive heart failure
KW - ischemic heart disease
KW - atrial fibrilation
KW - dilated cardiomyopathy
ER -

BibTex
@article{RevCh2018P1687,
author = {Namat Razan Al and Constantin Mihai and Miftode Ionela Larisa and Manta Andrei and Petris Antoniu and Miftode Radu and Costache Alexandru Dan and Iliescu Dan and Costache Irina Iuliana},
title = {Biochemical Markers in Patients with Readmission for Congestive Heart Failure},
journal = {Revista de Chimie},
volume = {69},
number = {7},
pages = {1687-1691},
year = {2018},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.18.7.6395},
url = {https://revistadechimie.ro/Articles.asp?ID=6395}
}

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