Causes and prediction of readmission of heart failure patients.

The purpose of the study to predict individual’s risk for hospital readmission for congestive heart failure using data available at the time of index hospital discharge MATERIALS AND METHODS Patients admitted for heart failure previously in madras medical college and Rajiv Gandhi government general hospital and now readmitted with history of heart failure symptoms within the 3 months of discharge are included in the study. Total sample size is 98. The study period is April 2014 – September 2014. . As this study is both prospective and retrospective the lab parameters and clinical parameters of patients previously admitted are obtained from medical records department, Rajiv Gandhi government general hospital. RESULTS In our study showed 60% of males and 40% females in medical wards. 40-55 age group showed 44.8% of readmission incidence, 5-9 DAYS of previous admission stay showed 45.91% of readmissions. 35.7% of patient had coronary artery disease as underlying cause. 26.5% had diabetes mellitus as most common comorbid illness. 15.3% has lack of compliance as precipitating factor. CONCLUSION The inferences attained from the study are 1. Readmissions are common in the younger age group patients 2. Underlying causes are correctable by surgical measures 3. Use of drugs that decrease the disease progression not used appropriately as there is lack of compliance and awareness 4. Diabetes mellitus and heart failure commonly are associated in many patients 5. Severe left ventricular systolic dysfunction and diastolic dysfunction is the most common echocardiogram finding associate