Impact of socio-economic status on the hospital readmission of Congestive Heart Failure patients: a prospective cohort study

被引:12
作者
Noori, Atefeh [1 ,2 ]
Shokoohi, Mostafa [1 ,3 ,4 ]
Baneshi, Mohammad Reza [1 ]
Naderi, Nasim [5 ]
Bakhshandeh, Hooman [6 ]
Haghdoost, Ali Akbar [1 ,3 ,4 ]
机构
[1] Kerman Univ Med Sci, Res Ctr Modelling Hlth, Inst Futures Studies Hlth, Kerman, Iran
[2] Univ Tehran Med Sci, Noncommunicable Dis Res Ctr, Endocrinol & Metab Populat Sci Inst, Tehran, Iran
[3] Kerman Univ Med Sci, Inst Futures Studies Hlth, Reg Knowledge Hub, Kerman, Iran
[4] Kerman Univ Med Sci, Inst Futures Studies Hlth, WHO Collaborating Ctr HIV Surveillance, Kerman, Iran
[5] Univ Tehran Med Sci, Cardiac Electrophysiol Res Ctr, Rajaee Cardiovasc Med & Res Ctr, Tehran, Iran
[6] Univ Tehran Med Sci, Cardiac Intervent Res Ctr, Rajaee Cardiovasc Med & Res Ctr, Tehran, Iran
来源
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT | 2014年 / 3卷 / 05期
关键词
Iran; Re-Hospitalization; Congestive Heart Failure (CHF); Socio-Economic Status (SES); Equity; Factor Analysis;
D O I
10.15171/ijhpm.2014.94
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The aim of this study was to examine the impacts of multiple indicators of Socio-economic Status (SES) on Congestive Heart Failure (CHF) related readmission. Methods: A prospective study consisting of 315 patients without the history of admission due to CHF was carried out in Tehran during 2010 and 2011. They were classified into quartiles based on their SES applying Principal Component Analysis (PCA), and followed up for one year. Using stratified Cox regression analysis, Hazard Ratios (HRs) were computed to assess the impact of SES on the readmission due to CHF. Results: During the 12 months follow-up, 122 (40%) were readmitted at least once. HR of lowest SES patients vs. the highest SES patients ( the fourth versus first quartile) was 2.66 (95% CI=1.51-4.66). Variables including abnormal ejection fraction (<40%), poor physical activity, poor drug adherence, and hypertension were also identified as significant independent predictors of readmission. Conclusion: The results showed low SES is a significant contributing factor to increased readmission due to CHF. It seems that the outcome of CHF depends on the SES of patients even after adjusting for some of main intermediate factors.
引用
收藏
页码:251 / 257
页数:7
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