Rehospitalization rate and predictors of rehospitalization in heart failure patients in north central Nigeria

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College of Health Sciences, University of Ilorin, Nigeria


INTRODUCTION Heart failure (HF) is a major cause of morbidity and mortality worldwide. It imposes considerable strain on patients through the burden of recurrent rehospitalizations.. OBJECTIVES The objective of the study was to determine the rehospitalization rate of heart failure patients managed over a 3-year period in our Centre, identify factors predictive of rehospitalization and determine the survival curve for 6-month among our patients. METHODS A retrospective cohort study of patients with HF managed in our Hospital between 2014 and 2017. RESULTS 148 patients who had complete data were studied. 25.7% of patients were rehospitalized at least once during the study period. 16.2% were rehospitalised by 6 months. Only age was found to be predictive of 6-month rehospitalization OR 1.03, (CI 1.004-1.056), p=0.024 suggesting that every one year increase in age is predictive of a three percent increase in likelihood of rehospitalisation. The Kaplan-Meier survival curve for 6-month rehospitalization among rehospitalized patients is shown below. CONCLUSION The rehospitalization rates among our patients are slightly higher among other reported rates in our environment. In the resource-constrained setting we practice issues of treatment affordability and availability of novel medications and treatment strategies are important considerations to reduce rehospitalization in HFpatients.





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