Factors Affecting Re-Hospitalization of Patients with Chronic Heart Failure in Hua Hin Hospital

Abstract

Background: Chronic heart failure is a serious health problem in all countries of the world. At present, the number of patients with heart failure is increasing. The diagnosis of the cause of heart failure is therefore important. So that the patient receives the correct and appropriate treatment.

Objective: To study factors affecting the re-hospitalization of patients with chronic heart failure at Hua Hin Hospital.

Method: This study was a retrospective analytical study. Data were collected from the medical records of patients diagnosed with chronic heart failure who were hospitalized in the cardiology intensive care unit and general ward in the internal medicine department, Hua Hin Hospital during the period from January 1, 2020, to December 31, 2022, for a period of 3 years. The instrument used in this research was the medical records of all patients admitted to the cardiology intensive care unit and general ward in the internal medicine department. The patients must be hospitalized with a diagnosis of chronic heart failure. The data were presented as the number, percentage, mean and standard deviation. Factors affecting the re-hospitalization of patients with chronic heart failure were analyzed by independent t-test and Chi-square test, including data analysis, univariate analysis and multivariate analysis with binary logistic regression statistical analysis.Results: A total of 405 patients, found that the re-hospitalization rate of patients with chronic heart failure was 24.2%. It was found that having ischemic heart disease, acute valvular regurgitation, insufficient control of water and salt, diet malnutrition (protein deficiency serum albumin) and SGLT2 inhibitor use had a statistically significant effect on re-hospitalization (p=0.041, p=0.039, p=0.034, p=0.026 and p=0.030, respectively). Gender, chronic diseases, smoking, alcohol consumption or the use of amphetamines, type of function of the heart muscle, cardiac arrhythmias, acute circulatory disorders, infectious diseases, anemia, chronic lung diseases, drugs and hormonal disorders had no effect on repeated hospitalization of patients with chronic heart failure.Conclusion: Many patients with heart failure have to be hospitalized again. From this study, it was found that there were many factors affecting. Therefore, physicians and relevant personnel should be aware of educating patients on self-care and provide comprehensive treatment to prevent re-admission to the hospital.