title: Behavioral factors and hospital admissions/readmissions in patients with CHF.
abstract: BACKGROUND
  Wasted health care resources have become a central concern in American health care. Heart failure has one of the highest readmission rates amongst all conditions studied in Medicare/Medicaid populations.
  
  
  OBJECTIVE
  The present study was an attempt to cross-sectionally identify correlates of number of past-year admissions and 30-day readmissions in patients with congestive heart failure.
  
  
  METHODS
  Eighty-four patients with congestive heart failure were recruited during hospitalization and underwent a semistructured interview for basic clinical/demographic information and completed several questionnaires measuring depression, anxiety, and spirituality.
  
  
  RESULTS
  Depression, history of substance abuse, and history of coronary artery disease displayed borderline results as correlates of past-year admissions. Immediate memory and psychiatric history (positive Patient Health Questionnaire 9, acknowledged history of treatment, and use of an antidepressant per chart) were associated with 30-day readmission rates. Indices of congestive heart failure severity (ejection fraction and last recorded B-type natriuretic peptide level) were not.
  
  
  CONCLUSIONS
  Present results suggest that both a psychiatric history and cognitive impairment are possible determinants of early readmission.
authors.affiliation: HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI. Electronic address: markwketterer@cs.com.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Ketterer
authors.affiliation: HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
authors.forename: Cathy
authors.initials: C
authors.lastname: Draus
authors.affiliation: HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
authors.forename: James
authors.initials: J
authors.lastname: McCord
authors.affiliation: HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
authors.forename: Usamah
authors.initials: U
authors.lastname: Mossallam
authors.affiliation: HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
authors.forename: Michael
authors.initials: M
authors.lastname: Hudson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use*; D003072:Cognition Disorders / Q000453:epidemiology*; D003324:Coronary Artery Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D003866:Depressive Disorder / Q000188:drug therapy / Q000453:epidemiology*; D005260:Female; D006333:Heart Failure / Q000453:epidemiology*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology
chemical_list: D000928:Antidepressive Agents