Abstract
Heart failure (HF) is characterized by frequent rehospitalization and prolonged hospital stay. Although length of stay has been used as a surrogate marker for hospital performance, its association with early rehospitalization remains unknown. We investigated their precise association using contemporary Japanese HF registry. We analyzed the 2785 acute HF patients who were registered in the West Tokyo Heart Failure registry and discharged or transferred to the recuperation facilities (mean age, 73.8 ± 13.5 years; 60.8% were men). Median length of stay was 15 days (interquartile range, 10–23 days). One-hundred and fourteen patients (4.1%) were readmitted for worsening HF within 30 days after discharge. Thirty-day risk-adjusted HF readmission after a shorter length of stay (1–12 days; the lower tertile within the cohort) was higher than those after intermediate (13–19 days; the middle tertile) [HR 1.71, 95% confidence interval (CI) 1.05–2.77]. Even after a longer length of stay, there tended to be a higher risk of 30-day HF readmission (HR 1.59, 95% CI 0.96–2.65). In conclusion, the Japanese acute HF patients had low rates of early-HF readmission after quite a long length of stay at urban tertiary care centers. Shorter length of stay was associated with increased rates of 30-day HF readmission, while longer length of stay also the same trended. Clinical Trial Registration: https://www.umin.ac.jp/icdr/index-j.html. Unique identifier: UMIN000001171.
| Original language | English |
|---|---|
| Journal | Heart and vessels |
| DOIs | |
| Publication status | Accepted/In press - 2019 Jan 1 |
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Keywords
- Heart failure
- Length of stay
- Readmission
- Registry-based study
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Length of hospital stay and its impact on subsequent early readmission in patients with acute heart failure : a report from the WET-HF Registry. / West Tokyo Heart Failure Registry Investigators.
In: Heart and vessels, 01.01.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Length of hospital stay and its impact on subsequent early readmission in patients with acute heart failure
T2 - a report from the WET-HF Registry
AU - West Tokyo Heart Failure Registry Investigators
AU - Moriyama, Hidenori
AU - Kohno, Takashi
AU - Kohsaka, Shun
AU - Shiraishi, Yasuyuki
AU - Fukuoka, Ryoma
AU - Nagatomo, Yuji
AU - Goda, Ayumi
AU - Mizuno, Atsushi
AU - Fukuda, Keiichi
AU - Yoshikawa, Tsutomu
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Heart failure (HF) is characterized by frequent rehospitalization and prolonged hospital stay. Although length of stay has been used as a surrogate marker for hospital performance, its association with early rehospitalization remains unknown. We investigated their precise association using contemporary Japanese HF registry. We analyzed the 2785 acute HF patients who were registered in the West Tokyo Heart Failure registry and discharged or transferred to the recuperation facilities (mean age, 73.8 ± 13.5 years; 60.8% were men). Median length of stay was 15 days (interquartile range, 10–23 days). One-hundred and fourteen patients (4.1%) were readmitted for worsening HF within 30 days after discharge. Thirty-day risk-adjusted HF readmission after a shorter length of stay (1–12 days; the lower tertile within the cohort) was higher than those after intermediate (13–19 days; the middle tertile) [HR 1.71, 95% confidence interval (CI) 1.05–2.77]. Even after a longer length of stay, there tended to be a higher risk of 30-day HF readmission (HR 1.59, 95% CI 0.96–2.65). In conclusion, the Japanese acute HF patients had low rates of early-HF readmission after quite a long length of stay at urban tertiary care centers. Shorter length of stay was associated with increased rates of 30-day HF readmission, while longer length of stay also the same trended. Clinical Trial Registration: https://www.umin.ac.jp/icdr/index-j.html. Unique identifier: UMIN000001171.
AB - Heart failure (HF) is characterized by frequent rehospitalization and prolonged hospital stay. Although length of stay has been used as a surrogate marker for hospital performance, its association with early rehospitalization remains unknown. We investigated their precise association using contemporary Japanese HF registry. We analyzed the 2785 acute HF patients who were registered in the West Tokyo Heart Failure registry and discharged or transferred to the recuperation facilities (mean age, 73.8 ± 13.5 years; 60.8% were men). Median length of stay was 15 days (interquartile range, 10–23 days). One-hundred and fourteen patients (4.1%) were readmitted for worsening HF within 30 days after discharge. Thirty-day risk-adjusted HF readmission after a shorter length of stay (1–12 days; the lower tertile within the cohort) was higher than those after intermediate (13–19 days; the middle tertile) [HR 1.71, 95% confidence interval (CI) 1.05–2.77]. Even after a longer length of stay, there tended to be a higher risk of 30-day HF readmission (HR 1.59, 95% CI 0.96–2.65). In conclusion, the Japanese acute HF patients had low rates of early-HF readmission after quite a long length of stay at urban tertiary care centers. Shorter length of stay was associated with increased rates of 30-day HF readmission, while longer length of stay also the same trended. Clinical Trial Registration: https://www.umin.ac.jp/icdr/index-j.html. Unique identifier: UMIN000001171.
KW - Heart failure
KW - Length of stay
KW - Readmission
KW - Registry-based study
UR - http://www.scopus.com/inward/record.url?scp=85071289870&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071289870&partnerID=8YFLogxK
U2 - 10.1007/s00380-019-01432-y
DO - 10.1007/s00380-019-01432-y
M3 - Article
C2 - 31134379
AN - SCOPUS:85071289870
JO - Heart and Vessels
JF - Heart and Vessels
SN - 0910-8327
ER -