Risk of repeated hospitalization of elderly people with heart failure
DOI:
https://doi.org/10.51723/hrj.v5i26.305Keywords:
Hospitalization, Patient Readmission, Heart Failure, Risk Factors, CardiologyAbstract
Objective: to identify and assess the risk of repeated hospitalization of elderly hospitalized with heart failure diagnosis. Method: analytical and cross-sectional study, with quantitative analysis. Sociodemographic and clinical data were collected and the instrument of Probability of Repeated Hospitalization was applied for the elderly population hospitalized in a reference Cardiology Unit. Data analysis was quantitative (absolute and percentage) using the Chi-square test and employing a risk of frailty stratum adapted to the Brazilian reality. Results: most of the elderly were male (60%), reported informal caregiver (62.22%), ischemic etiology of heart failure (26.67%), functional class II by the New York Heart Association (40%), hospital stay of eight to 14 days (37.78%) and average risk of repeated hospitalization (31.11%). There was a positive association between younger age group, coronary heart disease, self-perceived average or poor health and number of hospitalizations in the last year with the risk of readmission (p < 0.05). Conclusion: the use of risk predictors is feasible in heart failure hospitalization, considering the quality of health care and harm prevention.
References
Albuquerque DC, Souza NJD, Bacal F, Rohde LEP, Bernardez-Pereira S, Berwanger O et al. I Brazilian Registry of Heart Failure – Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq. Bras. Cardiol. [Internet]. 2015 Jun [cited 2019 Oct 20];104(6):433-442. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2015000600002&lng=en
Comitê Coordenador da Diretriz de Insuficiência Cardíaca. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arq Bras Cardiol. 2018;111(3):436-539. doi: 10.5935/abc.20180190.
Brasil. Departamento de Informática do Sistema Único de Saúde – DATASUS [Internet]. Brasília: DATASUS [cited 2018 Nov 07]. Available from: http://datasus.saude.gov.br/informacoes-de-saude/tabnet
Argwal SK, Wruck L, Quibrera M, Matsushita K, Loehr LR, Chang PP et al. Temporal trends in hospitalization for acute decompensated heart failure in the United States, 1988-2011. Am J Epidemiol [Internet]. 2016 Mar 1 [cited 2018 Mar 21]; 183(5):462-470. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26895710
Nunes BP, Soares MU, Wachs LS, Volz PM, Saes MO, Duro SMS et al. Hospitalization in older adults: association with multimorbidity, primary health care and private health plan. Rev Saúde Pública [Internet]. 2017 [cited 2018 Mar 15]; 51(43). Available from: http://www.scielo.br/pdf/rsp/v51/pt_0034-8910-rsp-S1518-87872017051006646.pdf
Ricci H, Araújo MN, Simonetti, SH. Early readmission in a high complexity public hospital in cardiology. Rev Rene. 2016 Dec 21;17(6). doi: 10.15253/2175-6783.2016000600014.
Boult C, Dowd B, McCaffrey D, Boult L, Hernandez R, Krulewitch H. Screening elders for risk of hospital admission. J Am Geriatr Soc. [Internet]. 1993 Aug [cited 2018 Mar 21]; 41(8):811-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/8340558
Veras R. The quest for adequate health care for the elderly: literature review and the application of an instrument for early detection and prediction of diseases. Cad. Saúde Pública. 2003 Jun;19(3):705-715. doi: 10.1590/S0102-311X2003000300003
Lourenço RA, Martins CSF, Sanchez AS, Veras RP. Geriatric outpatient healthcare: hierarchical demand structuring. Rev. Saúde Pública [Internet]. 2005 Apr [cited 2019 Feb 20]; 39(2):311-318. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102005000200025&lng=en
Negri LSA, Ruy GF, Collodetti JB, Pinto LF, Soranz DR. Application of an instrument for detecting and predicting diseases in the elderly people. Cienc Saúde Coletiva [Internet]. 2004 Dec [cited 2018 Mar 21]; 9(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232004000400024
Souza MP, Araújo SM, Dourado MB, Gama GGG. Epidemiological profile of elderly patients with heart failure in the intensive care unit. Revista Enfermagem Contemporânea. 2017 Apr;6(1). doi: 10.17267/23173378rec.v6i1.1164.
Souza ICP, Silva AG, Quirino ACS, Neves MS, Moreira LR. Profiles of dependent hospitalized patients and their family caregivers: knowledge and preparation for domiciliary care practices. Rev Min Enferm. 2014 Jan;18(1). doi: 10.5935/1415-2762.20140013
Linn AC, Azzolin K, Souza EN. Association between self-care and hospital readmissions of patients with heart failure. Rev. Bras. Enferm [Internet]. 2016 Jun [cited 2018 Nov 24]; 69(3):503-506. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672016000300500&lng=en&nrm=iso
Xavier SO, Ferreti-Rebustini REL, Santana-Santos E, Lucchesi PAO, Hohl KG. Heart failure as a predictor of functional dependence in hospitalized elderly. Rev Esc Enferm USP. 2015 Jan 10;49(5):790-796. doi: 10.1590/S0080-623420150000500012.
Cordeiro P, Martins M. Hospital mortality in older patients in the Brazilian Unified Health System, Southeast region. Rev Saúde Pública [Internet]. 2018 Jul 17 [cited 2018 Nov 18]; 52(69). Available from: http://www.scielo.br/pdf/rsp/v52/pt_0034-8910-rsp-S1518-87872018052000146.pdf
Oliveira FMRL, Costa KNFM, Pontes MLF, Batista PSS, Barbosa KTF, Fernandes MGM. Hospitalizationrelated risk factors in older adults receiving primary health care. Rev Enferm UERJ. 2018;26(1). doi: 10.12957/reuerj.2018.15488.
Pacala JT, Boult C, Boult L. Predictive validity of a questionnaire that identifies older persons at risk for hospital admission. J Am Geriatr Soc [Internet]. 1995 Apr [cited 24 Nov 2018]; 43(4):374-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7706626
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Carolina Ossege, Ana Cristina Santos, Carla Targino Bruno dos Santos

This work is licensed under a Creative Commons Attribution 4.0 International License.
Esta licença permite que outros distribuam, remixem, adaptem e desenvolvam seu trabalho, mesmo comercialmente, desde que atribuam crédito à revista pela criação original.