Abstract 315: Anemia predicts 30-Day Hospital Readmission for Heart Failure in African Americans
Background: Anemia is a frequently encountered comorbidity that affects both death and hospitalization in patients with heart failure (HF). The effect of anemia on 30-day hospital readmission in African Americans (AA) with HF has not been studied.
Methods: We retrospectively enrolled all 243 (61% female) self-reported AA adults admitted to the University of Illinois at Chicago hospital with the diagnosis of HF from January 2011 to December 2012. Extensive medical chart reviews were performed.
Results: The prevalence of anemia with hemoglobin (Hb) <12g/dl was 64.6%. After adjusting for factors known to affect readmission (table), lower Hb (<12g/dl) levels were associated with increased 30-day readmission rates (OR 0.814, 95% CI 1.6-20.7, p=0.008) in a Cox proportional hazard logistic regression model.
Conclusion: Lower Hb levels are associated with higher 30-day readmission rates in hospitalized AA patients with HF. Interventions towards appropriate treatment and prevention of anemia in AA with HF might reduce their readmission rates and improve their outcome.
Author Disclosures: I.N. Mansour: None. H.H. Gheith: None. Z. Dowdy: None. C. Dickens: None. T.D. Stamos: None.
- © 2014 by American Heart Association, Inc.