Patient-reported outcomes predict high readmission rates among patients with cardiac diagnoses. Findings from the DenHeart study

Marianne Vámosi, Astrid Lauberg, Britt Borregaard, Anne Vinggaard Christensen, Lars Thrysoee, Trine Bernholdt Rasmussen, Ola Ekholm, Knud Juel, Selina Kikkenborg Berg

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8 Citations (Scopus)

Abstract

BACKGROUND: High rates of readmission after myocardial infarction and cardiac surgery have been reported, indicating a heavy burden for both patients and society. Patient-reported outcomes are predictors of adverse outcomes such as morbidity and mortality and may also be useful in preventive risk assessment as predictors of readmission.

AIM: To describe (i) the prevalence of cardiac readmissions one year after hospital discharge among cardiac patients, (ii) patient-reported outcomes at hospital discharge as predictors of readmission.

METHODS: The following patient-reported outcomes were measured across cardiac diagnoses at hospital discharge from the five heart centres, cardiology and thoracic surgery units, as a part of the national, cross-sectional DenHeart Study: Short-Form 12 (SF-12), Hospital Anxiety and Depression Scale (HADS), EuroQoL (EQ-5D-5L), HeartQoL and the Edmonton Symptom Assessment Scale (ESAS). One year readmissions were obtained from national registers.

RESULTS: A total of 34,564 cardiac patients were discharged of whom 16,712 patients completed the questionnaire. A total of 11,693 (36%) patients were readmitted for cardiac reasons at least once during the first year after index admission. The risk of readmission was predicted by anxiety (HR = 1.36 (CI:1.26-1.46)) and depression (HR = 1.42 (CI:1.31-1.55)). Higher scores reflected lower readmission risk on the physical (HR = 0.98 (CI:0.98-0.98)) health component of the SF-12.

CONCLUSION: A total of 36% of cardiac patients admitted to a national heart center were readmitted during the first year. Readmission was predicted by patient-reported anxiety, depression, perceived health, quality of life and symptom distress, which may be used in risk assessment in clinical practice.

Original languageEnglish
JournalInternational Journal of Cardiology
Volume300
Pages (from-to)268-275
Number of pages8
ISSN0167-5273
DOIs
Publication statusPublished - Feb 2020

Keywords

  • Anxiety
  • Depression
  • Patient reported outcomes
  • Quality of life
  • Readmission

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