Risk factors and readmission rate of patients with heart failure compli-cated with renal insufficiency
Objective To analyze the clinical data,follow-up data and cardiac function of patients with heart failure,and to explore the risk factors and the rehospitalization rate within 1 year in patients with heart failure complicated with renal in-sufficiency.Methods The clinical data of 278 patients with heart failure admitted to Xianning Central Hospital from January to September 2022 were retrospectively analyzed.According to renal function,they were divided into simple heart failure group(182 cases)and heart failure combined with renal insufficiency group(96 cases).Both groups of patients were treated with standard treatment.Multivariate logistic analysis of the influencing factors in patients with heart failure combined with renal insufficiency.Results Univariate analysis indicated that gender,smoking,drinking,uric acid,serum creatinine,B-type natriuretic peptide,left ventricular ejection fraction,left ventricular end-diastolic diameter,and re-hospitalization rate between the two groups,the differences were statistically significant(P＜0.05).Multivariate results indicated that hype-ruricemia(β=0.005,OR=0.995,95%CI=0.993-0.997),low ejection fraction(β=0.972,OR=0.651,95%CI=0.982-1.609)and poor New York Heart Association cardiac function rating(β=0.625,OR=0.535,95%CI=0.290-0.987)were the risk factor for heart failure combined with renal insufficiency,the differences were statistically significant(P＜0.05).Conclusion The rate of re-hospitalization is higher in patients with heart failure and renal insufficiency,which is influenced by multiple factors.Hyperuricemia,low ejection fraction and poor cardiac function rating of New York Heart Association are risk factors for heart failure and renal insufficiency.
Heart FailureCardiac function classificationRenal insufficiencyReadmission rate
万方数据
维普
