Device data can ID heart failure patients at readmission risk

October 15, 2012
Device data can ID heart failure patients at readmission risk
The use of device diagnostics to risk stratify patients during the first seven days after discharge can help identify patients at greatest risk of readmission for heart failure, according to research published online Oct. 4 in The American Journal of Cardiology.

(HealthDay)—The use of device diagnostics to risk stratify patients during the first seven days after discharge can help identify patients at greatest risk of readmission for heart failure, according to research published online Oct. 4 in The American Journal of Cardiology.

To assess whether diagnostic data collected after a hospitalization can predict the risk of , David J. Whellan, M.D., from Thomas Jefferson University in Philadelphia, and colleagues retrospectively analyzed patients from four studies and identified patients with defibrillator (CRT-D) devices with an admission for heart failure and 30-day post-discharge follow-up data. Diagnostic data from the first seven days after discharge were evaluated on the seventh day. A combined score was created from the device parameters that significantly predicted 30-day heart failure readmission, and patients were categorized into three risk groups.

Among 166 patients, the researchers identified 254 hospitalizations for heart failure, with 34 readmissions within 30 days. Significant predictors of 30-day readmission included daily impedance; high atrial fibrillation burden with poor rate control (>90 beat/min) or reduced CRT-D pacing (<90 percent pacing); and night heart rate of >80 beats/min. There was a significantly greater risk for 30-day readmission for heart failure among patients in the "high"-risk group for the combined diagnostic (hazard ratio, 25.4) compared to the "low"-risk group.

"Future studies to validate the scoring system and to show that using the diagnostics at seven days can reduce heart failure readmissions are required before implementation of this strategy in clinical practice," the authors write.

Several authors disclosed (including employment) to Medtronic.

Explore further: Readmit predictors for congenital heart disease are lesion specific

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Readmit predictors for congenital heart disease are lesion specific

September 20, 2016
(HealthDay)—For adults with congenital heart disease, readmission is more likely among those with a primary diagnosis of congestive heart failure, and predictors of readmission are lesion specific, according to a study ...

Heart failure readmissions reduced with new optimization approach

June 10, 2015
People hospitalized for heart failure had a significantly lower chance of being readmitted within 30 days of discharge when treated with a cardiac resynchronization therapy device, or CRT, equipped with an algorithm to automatically ...

Increased risk of death for heart failure patients with each NHS hospital admission

August 28, 2016
Heart failure patients have a 2% increased risk of dying with each admission to NHS hospitals, according to research presented at ESC Congress 2016 today. The 15 year study in more than 450 000 patients from the ACALM Study ...

Early alert intervention cuts heart failure readmission

January 26, 2015
(HealthDay)—An electronic medical record system, designed to identify patients who have been discharged from heart failure hospitalization and present in the emergency department, can prevent readmissions, according to ...

Public reporting of hospital readmissions hasn't cut rates

February 25, 2016
(HealthDay)—For patients with myocardial infarction (MI), heart failure, and pneumonia, the release of the Centers for Medicare & Medicaid Services (CMS) public reporting of hospital readmission rates has had no impact ...

Worse prognosis for heart failure patients with low osmolality

March 21, 2016
(HealthDay)—For patients with heart failure and reduced ejection fraction, low osmolality at discharge is associated with worse all-cause mortality and readmission, according to research published in the April 1 issue of ...

Recommended for you

Researchers investigate the potential of spider silk protein for engineering artificial heart

August 18, 2017
Ever more people are suffering from cardiac insufficiency, despite significant advances in preventing and minimising damage to the heart. The main cause of reduced cardiac functionality lies in the irreversible loss of cardiac ...

Lasers used to detect risk of heart attack and stroke

August 18, 2017
Patients at risk of heart attacks and strokes may be spotted earlier thanks to a diagnosis tool that uses near-infrared light to identify high-risk arterial plaques, according to research carried out at WMG, University of ...

Cholesterol crystals are sure sign a heart attack may loom

August 17, 2017
A new Michigan State University study on 240 emergency room patients shows just how much of a role a person's cholesterol plays, when in a crystallized state, during a heart attack.

How Gata4 helps mend a broken heart

August 15, 2017
During a heart attack, blood stops flowing into the heart; starved for oxygen, part of the heart muscle dies. The heart muscle does not regenerate; instead it replaces dead tissue with scars made of cells called fibroblasts ...

Injectable tissue patch could help repair damaged organs

August 14, 2017
A team of U of T Engineering researchers is mending broken hearts with an expanding tissue bandage a little smaller than a postage stamp.

'Fat but fit' are at increased risk of heart disease

August 14, 2017
Carrying extra weight could raise your risk of heart attack by more than a quarter, even if you are otherwise healthy.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.