Risk factors for readmission in patients with chronic heart failure: a Meta-analysis
10.3760/cma.j.cn115682-20200728-04617
- VernacularTitle:慢性心力衰竭患者再入院风险因素的Meta分析
- Author:
Jiewen PENG
1
;
Ming TAO
;
Yuanli XU
;
Runyu YANG
;
Yanyan ZHANG
Author Information
1. 遵义医科大学护理学院 563003
- Keywords:
Heart failure;
Readmission;
Meta-analysis;
Risk factor
- From:
Chinese Journal of Modern Nursing
2021;27(7):857-864
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relevant risk factors for readmission of patients with chronic heart failure by Meta-analysis.Methods:We searched the PubMed, Cochrane Library, Web of Science, Embase, SinoMed, China National Knowledge Infrastructure (CNKI) , Wanfang Data and VIP Database by computer, and the search time limit was from the establishment of the database to December 31, 2019. RevMan 5.3 software was used for Meta-analysis.Results:A total of 19 articles were included, including 185 545 patients and 34 related risk factors.Statistically significant risk factors included depression [ OR=3.87, 95% CI (2.87-5.23) , P<0.01], living alone [ OR=1.12, 95% CI (1.01-1.24) , P=0.03], combined with hyperlipidemia and diabetes [ OR=1.16, 95% CI (1.14-1.19) , P<0.01], high-salt diet [ OR=3.36, 95% CI (2.60-4.35) , P<0.01], decreased renal function [ OR=2.00, 95% CI (1.95-2.04) , P<0.01], heart failure with reduced ejection fraction [ OR=2.71, 95% CI (1.93-3.73) , P<0.01], anemia [ OR=1.43, 95% CI (1.27-1.60) , P<0.01]and infection [ OR=1.12, 95% CI (1.00-1.25) , P=0.04]. Conclusions:Depression, living alone, combined with hyperlipidemia and diabetes, high-salt diet, decreased renal function, heart failure with reduced ejection fraction, anemia and infection are related risk factors for readmission in patients with chronic heart failure.
