PMID- 27109838
OWN - NLM
STAT- MEDLINE
DCOM- 20160713
LR  - 20181202
IS  - 2173-9110 (Electronic)
IS  - 1135-5727 (Linking)
VI  - 90
DP  - 2016 Apr 25
TI  - [Avoidable Hospital Admissions for Heart Failure, Spain].
PG  - E7
AB  - OBJECTIVE: The avoidable hospital admissions for heart failure are a problem for 
      health systems worldwide, as they waste resources, generate additional 
      morbidities and high mortality. The objective of this study was to determine the 
      risk factors in patients hospitalized for heart failure. METHODS: A group of 
      medical from Hospital and Primary Care was established. We realized an audit of a 
      sample of 110 patients from Aljarafe towns with highest hospital admissions for 
      heart failure. The analysis used Student T test and Mann Whitney for quantitative 
      variables; Chi-square test and Fisher exact test for qualitative variables. 
      RESULTS: Patients admitted for HF had a mean age of 78.1 years (SD: 9.56); 73 
      (66.4%) were women; Barthel Index was 45.0 on average; 53.5% had New York Health 
      Association (NYHA) class III and 17 (15.5%) were institutionalized, 70% had 
      between 3 and 5 comorbidities, mainly hypertension (87.3%), dyslipidemia (60.0%), 
      diabetes (57.3%), chronic kidney disease (56.4%), anemia (53.2% ) or atrial 
      fibrillation (52.7%). During hospitalization, 23 patients (20.9%) died. They were 
      mostly women, elderly, had a previous admission and without beta-blockers 
      treatment. The admission in the last 12 months was associated with identification 
      of the primary caregiver; ischemic HF; re-vascularization; inclusion in the 
      COMPARTE Program; treatment change decompensation. CONCLUSIONS: The hospital 
      admissions were more frequently an aging population with multiple diseases 
      (hypertension, diabetes, COPD, renal disease) and low capacity for basic 
      activities of daily life. The hospital mortality associated with elderly, women, 
      less use of beta-blockers and the non-inclusion of the patient in the care 
      process.
FAU - Ruiz-Romero, Victoria
AU  - Ruiz-Romero V
AD  - Unidad de Investigacion Calidad y Formacion. Hospital San Juan de Dios del 
      Aljarafe. Bormujos. Sevilla.
FAU - Lorusso, Nicola
AU  - Lorusso N
AD  - Servicio de Epidemiologia. Consejeria de Sanidad. Junta de Castilla y Leon. 
      Valladolid.
FAU - Exposito Garcia, Sebastian
AU  - Exposito Garcia S
AD  - Servicio de Prevencion. Hospital San Juan de Dios del Aljarafe. Bormujos. 
      Sevilla.
FAU - Paez-Pinto, Jose Maria
AU  - Paez-Pinto JM
AD  - Unidad de Gestion Clinica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. 
      Sevilla.
FAU - Palmero-Palmero, Cesar
AU  - Palmero-Palmero C
AD  - Servicio de Medicina. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
FAU - Caballero-Delgado, Gema
AU  - Caballero-Delgado G
AD  - Unidad de Gestion Clinica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. 
      Sevilla.
FAU - Zapico Moreno, Maria Jose
AU  - Zapico Moreno MJ
AD  - Unidad de Gestion Clinica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. 
      Sevilla.
FAU - Fernandez-Moyano, Antonio
AU  - Fernandez-Moyano A
AD  - Servicio de Medicina. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
LA  - spa
PT  - Journal Article
TT  - Hospitalizaciones evitables por insuficiencia cardiaca.Variables implicadas.
DEP - 20160425
PL  - Spain
TA  - Rev Esp Salud Publica
JT  - Revista espanola de salud publica
JID - 9600212
SB  - IM
MH  - Aged
MH  - Atrial Fibrillation/epidemiology
MH  - Comorbidity
MH  - Diabetes Mellitus/epidemiology
MH  - Dyslipidemias/epidemiology
MH  - Female
MH  - Health Resources
MH  - Heart Failure/*epidemiology
MH  - Hospital Mortality
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Hypertension/epidemiology
MH  - Male
MH  - Medical Audit
MH  - Risk Factors
MH  - Spain/epidemiology
MH  - Statistics, Nonparametric
OTO - NOTNLM
OT  - Anemia
OT  - Atrial Fibrillation
OT  - Chronic Kidney Diseases
OT  - Clinical Audit
OT  - Diabetes Mellitus
OT  - Dyslipidemias
OT  - Heart failure
OT  - Hypertension
OT  - Patient readmission
OT  - Spain
EDAT- 2016/04/26 06:00
MHDA- 2016/07/14 06:00
CRDT- 2016/04/26 06:00
PHST- 2016/03/17 00:00 [received]
PHST- 2016/04/19 00:00 [accepted]
PHST- 2016/04/26 06:00 [entrez]
PHST- 2016/04/26 06:00 [pubmed]
PHST- 2016/07/14 06:00 [medline]
PST - epublish
SO  - Rev Esp Salud Publica. 2016 Apr 25;90:E7.