PMID- 33541820
OWN - NLM
STAT- MEDLINE
DCOM- 20210929
LR  - 20210929
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 30
IP  - 6
DP  - 2021 Jun
TI  - Biomedical, Socioeconomic and Demographic Predictors of Heart Failure 
      Readmissions: A Systematic Review.
PG  - 817-836
LID - S1443-9506(20)31556-0 [pii]
LID - 10.1016/j.hlc.2020.11.011 [doi]
AB  - AIMS: To identify the biomedical, socioeconomic and demographic predictors of 
      heart failure (HF) related readmissions in adult patients with HF. METHODS: This 
      systematic review was conducted in March 2020 using the databases EMBASE, CINAHL 
      and Medline to identify publications between 2015-2020. The resulting articles 
      were systematically reviewed according to the PRISMA guidelines. RESULTS: 
      Eighteen (18) studies were included in this review. Unemployment (HR=1.09; 
      95%CI=1.05-1.14; p=0.03) was the only socioeconomic factor predictive of 
      HF-readmissions. Socio-Economic Indexes for Areas (SEIFA) scores did not predict 
      HF readmissions in adults with HF (p>0.05). All patients included in the studies 
      had pre-existing HF. Based on the included studies, Indigenous status was 
      identified as a risk factor for HF readmissions in 1 study (p<0.05), and age or 
      sex did not affect HF readmission patterns (p>0.05). New York Heart Association 
      (NYHA) class, brain natriuretic peptide (BNP) levels, and heart rate were also 
      predictive of HF readmission (p<0.05). Left ventricular ejection fraction and 
      blood pressure, however, were non-significant risk factors of HF readmissions 
      (p>0.05). CONCLUSIONS: This review identified unemployment, Indigenous status, 
      NYHA class, heart rate, and BNP levels to predict HF related readmissions in 
      adult patients with HF. Adding demographic and socioeconomic variables to 
      readmission risk models has the potential to more accurately target patients at 
      risk of readmissions.
CI  - Copyright (c) 2020 Australian and New Zealand Society of Cardiac and Thoracic 
      Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). 
      Published by Elsevier B.V. All rights reserved.
FAU - Choi, Eun Sun
AU  - Choi ES
AD  - University of Sydney, Faculty of Medicine & Health, Sydney, NSW, Australia. 
      Electronic address: echo0132@uni.sydney.edu.au.
FAU - Wiseman, Taneal
AU  - Wiseman T
AD  - University of Sydney, Faculty of Medicine & Health, Sydney, NSW, Australia.
FAU - Betihavas, Vasiliki
AU  - Betihavas V
AD  - Australian Catholic University, Faculty of Health Sciences, Sydney, NSW, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20210201
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
SB  - IM
MH  - Adult
MH  - Demography
MH  - *Heart Failure/diagnosis/epidemiology/therapy
MH  - Humans
MH  - *Patient Readmission
MH  - Socioeconomic Factors
MH  - Stroke Volume
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Biomedical research
OT  - Demography
OT  - Heart failure
OT  - Patient readmission
OT  - Socioeconomic factors
EDAT- 2021/02/06 06:00
MHDA- 2021/09/30 06:00
CRDT- 2021/02/05 05:45
PHST- 2020/07/06 00:00 [received]
PHST- 2020/10/30 00:00 [revised]
PHST- 2020/11/22 00:00 [accepted]
PHST- 2021/02/06 06:00 [pubmed]
PHST- 2021/09/30 06:00 [medline]
PHST- 2021/02/05 05:45 [entrez]
AID - S1443-9506(20)31556-0 [pii]
AID - 10.1016/j.hlc.2020.11.011 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2021 Jun;30(6):817-836. doi: 10.1016/j.hlc.2020.11.011. Epub 
      2021 Feb 1.