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Reached Blood Pressure Target in Heart Failure Patients and Its Correlation with Early Hospital Readmission

Author : E.P. Sidarta, D.B. Bening, D. Sargowo
Upload Date : 19-04-2018

Background: Hospital readmission in patient with heart failure is still considered high. It has been known that hospital readmission is a sign of inadequate therapy in heart failure. Epidemiological studies have reported improved survival rate for patients with heart failure if treated properly according the guidelines. One of the goal therapy in heart failure patients is to reach the blood pressure target, yet no define data exist about the relation of blood pressure with the early hospital readmission. The aim of this study is to find the correlation between reached blood pressure target in patient with heart failure and early hospital readmission.

Methods: This study was an observational analytic study with purpose sampling. The subjects were patients who admitted to emergency room at Lavalette hospital during February 2017 – October 2017 with the heart failure worsening signs. We took data from medical histories and physical examinations. Reached blood pressure target was considered as <130/80 from patient with coronary artery disease history and <140/90 from those without coronary artery disease history. Early readmission were those with history of previous hospital admission in <6 months and late readmission was >6 months. These data were analyzed by Fisher’s Exact test.

Results: Of 24 heart failure patients, there were 16 (66.7%) patients reached the blood pressure target and 8 (33.3%) who did not. From those who reached blood pressure target, 7 patients (43.75%) were early readmitted; whereas from 8 patients who did not reached the blood pressure target, 4 patients (50%) were early readmitted. There was, however, no correlation between reached blood pressure target and early hospital readmission (95% CI 0.142-4.265, p>0.05).

Conclusion: There are no correlation between reached blood pressure target and early hospital readmission.

KEYWORDS : heart failure, blood pressure, hospital readmission


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