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Noori, A., Shokoohi, M., Baneshi, M., Naderi, N., Bakhshandeh, H., Haghdoost, A. (2014). Impact of Socio-Economic Status on the Hospital Readmission of Congestive Heart Failure Patients: A Prospective Cohort Study. International Journal of Health Policy and Management, 3(5), 251-257. doi: 10.15171/ijhpm.2014.94
Atefeh Noori; Mostafa Shokoohi; Mohammad Reza Baneshi; Nasim Naderi; Hooman Bakhshandeh; Ali Akbar Haghdoost. "Impact of Socio-Economic Status on the Hospital Readmission of Congestive Heart Failure Patients: A Prospective Cohort Study". International Journal of Health Policy and Management, 3, 5, 2014, 251-257. doi: 10.15171/ijhpm.2014.94
Noori, A., Shokoohi, M., Baneshi, M., Naderi, N., Bakhshandeh, H., Haghdoost, A. (2014). 'Impact of Socio-Economic Status on the Hospital Readmission of Congestive Heart Failure Patients: A Prospective Cohort Study', International Journal of Health Policy and Management, 3(5), pp. 251-257. doi: 10.15171/ijhpm.2014.94
Noori, A., Shokoohi, M., Baneshi, M., Naderi, N., Bakhshandeh, H., Haghdoost, A. Impact of Socio-Economic Status on the Hospital Readmission of Congestive Heart Failure Patients: A Prospective Cohort Study. International Journal of Health Policy and Management, 2014; 3(5): 251-257. doi: 10.15171/ijhpm.2014.94

Impact of Socio-Economic Status on the Hospital Readmission of Congestive Heart Failure Patients: A Prospective Cohort Study

Article 5, Volume 3, Issue 5, October 2014, Page 251-257  XML PDF (542 K)
Document Type: Original Article
DOI: 10.15171/ijhpm.2014.94
Authors
Atefeh Noori1, 2; Mostafa Shokoohi3, 1; Mohammad Reza Baneshiorcid 1; Nasim Naderi4; Hooman Bakhshandeh5; Ali Akbar Haghdoost orcid 3, 1
1Research Centre for Modelling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2Non-Communicable Diseases Research Center, Endocrinology and Metabolism population sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
3Regional Knowledge Hub, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
4Cardiac Electrophysiology Research Center, Rajaee Cardiovascular Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran
5Cardiac Intervention Research Center, Rajaee Cardiovascular, Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Background
The aim of this study was to examine the impacts of multiple indicators of Socio-economic Status (SES) on Congestive Heart Failure (CHF) related readmission.
 
Methods
A prospective study consisting of 315 patients without the history of admission due to CHF was carried out in Tehran during 2010 and 2011. They were classified into quartiles based on their SES applying Principal Component Analysis (PCA), and followed up for one year. Using stratified Cox regression analysis, Hazard Ratios (HRs) were computed to assess the impact of SES on the readmission due to CHF.
 
Results
During the 12 months follow-up, 122 (40%) were readmitted at least once. HR of lowest SES patients vs. the highest SES patients (the fourth versus first quartile) was 2.66 (95% CI= 1.51–4.66). Variables including abnormal ejection fraction (<40%), poor physical activity, poor drug adherence, and hypertension were also identified as significant independent predictors of readmission.
 
Conclusion
The results showed low SES is a significant contributing factor to increased readmission due to CHF. It seems that the outcome of CHF depends on the SES of patients even after adjusting for some of main intermediate factors.
Keywords
Iran; Re-Hospitalization; Congestive Heart Failure; Socio-Economic Status (SES); Equity; Factor Analysis
Main Subjects
Epidemiology; Social Science in Health/Medicine
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