[Avoidable Hospital Admissions for Heart Failure, Spain].
OBJECTIVE
The avoidable hospital admissions for heart failure are a problem for health systems worldwide, as they waste resources, generate additional morbidities and high mortality. The objective of this study was to determine the risk factors in patients hospitalized for heart failure.


METHODS
A group of medical from Hospital and Primary Care was established. We realized an audit of a sample of 110 patients from Aljarafe towns with highest hospital admissions for heart failure. The analysis used Student T test and Mann Whitney for quantitative variables; Chi-square test and Fisher exact test for qualitative variables.


RESULTS
Patients admitted for HF had a mean age of 78.1 years (SD: 9.56); 73 (66.4%) were women; Barthel Index was 45.0 on average; 53.5% had New York Health Association (NYHA) class III and 17 (15.5%) were institutionalized, 70% had between 3 and 5 comorbidities, mainly hypertension (87.3%), dyslipidemia (60.0%), diabetes (57.3%), chronic kidney disease (56.4%), anemia (53.2% ) or atrial fibrillation (52.7%). During hospitalization, 23 patients (20.9%) died. They were mostly women, elderly, had a previous admission and without beta-blockers treatment. The admission in the last 12 months was associated with identification of the primary caregiver; ischemic HF; re-vascularization; inclusion in the COMPARTE Program; treatment change decompensation.


CONCLUSIONS
The hospital admissions were more frequently an aging population with multiple diseases (hypertension, diabetes, COPD, renal disease) and low capacity for basic activities of daily life. The hospital mortality associated with elderly, women, less use of beta-blockers and the non-inclusion of the patient in the care process.
Unidad de Investigación Calidad y Formación. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
Victoria
V
Ruiz-Romero
Servicio de Epidemiología. Consejería de Sanidad. Junta de Castilla y León. Valladolid.
Nicola
N
Lorusso
Servicio de Prevención. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
Sebastián
S
Expósito García
Unidad de Gestión Clínica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. Sevilla.
José María
JM
Páez-Pinto
Servicio de Medicina. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
César
C
Palmero-Palmero
Unidad de Gestión Clínica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. Sevilla.
Gema
G
Caballero-Delgado
Unidad de Gestión Clínica de Bormujos. Distrito Aljarafe-Sevilla Norte. Bormujos. Sevilla.
María José
MJ
Zapico Moreno
Servicio de Medicina. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.
Antonio
A
Fernández-Moyano
D000368:Aged; D001281:Atrial Fibrillation / Q000453:epidemiology; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D006295:Health Resources; D006333:Heart Failure / Q000453:epidemiology*; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008485:Medical Audit; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D018709:Statistics, Nonparametric
Anemia; Atrial Fibrillation; Chronic Kidney Diseases; Clinical Audit; Diabetes Mellitus; Dyslipidemias; Heart failure; Hypertension; Patient readmission; Spain