ArticleHypertension research : official journal of the Japanese Society of Hypertension2020
Association between the number of hospital admissions and in-hospital outcomes in patients with heart failure.
Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 27 citations in OpenAlex.
- Association between transitional care in acute care hospitals and ambulatory care sensitive condition-related readmission.Age and ageing · 2025Observational
- Comprehensive Self-Management of Heart Failure.Journal of cardiovascular development and disease · 2025Review
- Role of Vascular Function in the Prognosis of Heart Failure Patients.Journal of clinical medicine · 2024Article
- Sex Differences in the Association Between Depression and Incident Cardiovascular Disease.JACC. Asia · 2024Article
- Sex Differences in the Relationship Between Schizophrenia and the Development of Cardiovascular Disease.Journal of the American Heart Association · 2024Article
- A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health.Methodist DeBakey cardiovascular journal · 2024Review
- Importance of anemia in heart failure over blood pressure variability.Clinical cardiology · 2023Article
- Risk factors of readmission and the impact of outpatient management in heart failure patients: A national study in Japan.ESC heart failure · 2023Article
- Clinical Outcomes in Patients on Hemodialysis with Congestive Heart Failure.Kidney diseases (Basel, Switzerland) · 2023Article
- Among-Hospital Variation in Intensive Care Unit Admission Practices and Associated Outcomes for Patients with Acute Respiratory Failure.Annals of the American Thoracic Society · 2023Article
- Association of weight change and in-hospital mortality in patients with repeated hospitalization for heart failure.Journal of cachexia, sarcopenia and muscle · 2023Observational
- Effectiveness and Approach of Rehabilitation in Patients With Acute Heart Failure: A Review.Korean circulation journal · 2022Review
- Acute-Phase Initiation of Cardiac Rehabilitation for Short-Term Improvement in Activities of Daily Living in Patients Hospitalized for Acute Heart Failure.Journal of cardiovascular development and disease · 2022Article
- Reverse J-shaped relationship between body mass index and in-hospital mortality of patients hospitalized for heart failure in Japan.Heart and vessels · 2021Article
- Impact of hospital volume on clinical outcomes of hospitalized heart failure patients: analysis of a nationwide database including 447,818 patients with heart failure.BMC cardiovascular disorders · 2021Article
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Authors and funding
12 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Readmission to the hospital is a major issue in clinical care for patients with heart failure (HF). However, the impact of the number of hospital admissions due to worsened HF is not fully understood. We sought to clarify the association between the number of hospital admissions due to worsened HF and patient outcomes. We studied 331,259 patients (median age was 81 years, and 175,286 patients (52.9%) were men) hospitalized for HF between January 2010 and March 2018 using the Japanese Diagnosis Procedure Combination Database, a national inpatient database. Patients were categorized into five groups based on the number of times they were admitted: once (n = 264,583), twice (n = 42,385), three times (n = 13,205), four times (n = 5347), and five or more times (n = 5739). The patients with larger numbers of admissions were more likely to have comorbidities and to use inotropic agents. The interval period between hospitalizations was shortened with an increasing number of hospital admissions, whereas the length of hospital stay was prolonged with an increasing number of hospital admissions. Multivariable logistic regression analysis fitted with a generalized estimating equation showed that an increased number of hospital admissions was independently associated with higher in-hospital mortality. In conclusion, readmission to the hospital due to worsened HF was still common, and in-hospital mortality was higher in those with larger numbers of readmissions, suggesting a clinical significance of the number of readmissions in patients with HF.
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