| الوصف: |
Introduction: Hospitalizations for acute decompensated heart failure represent a progression of worsening symptoms and quality of life, yet is little known about the relationship of perceived pain and hospital readmission rates. Hypothesis: The manifestation of pain in patients with heart failure is associated with an increased rate of hospital readmissions. Methods: We examined the records of 591 patients admitted to a tertiary care center with a diagnosis of heart failure who had standardized pain scale assessment (0, no pain, to 10, worst pain ever) completed upon admission and evaluated the number of readmissions over one year. Results: The frequency of readmissions was 0.3760.85 for heart failure and 1.1661.59 for any cause, respectively. There was no association between pain and readmission in the total population, however there was significant association in the 211 patients who endorsed pain $1 and hospital length of stay #30 days. Logistic regression analysis demonstrated that pain predicted an increase in the likelihood of readmissions for heart failure within one year, with an Odds Ratio (OR) of 1.23 (p 50.006, 95% CI51.060 1.416) independent of coronary artery disease, diabetes, pulmonary disease, renal insufficiency, depression, anemia and depressed left ventricular function. This association also appeared stronger in men, OR 1.26 (p50.026, 95%CI51.0281.553) compared to women, OR 1.20 (p50.09, 95%CI50.973-1.471). Conclusion: The manifestation of pain in heart failure patients is associated with increased rates of readmissions independent of coronary artery disease diabetes, pulmonary disease, renal insufficiency, depression, anemia and depressed left ventricular function. |
