Analysis Of Influencing Factors Of Unplanned Readmission In Patients With Cardiovascular Disease Within 31 Days

Objective: To explore the influencing factors of unplanned readmission in patients with cardiovascular disease within 31 days.Methods: Patients with cardiovascular disease discharged from the Heart Center of the First Affiliated Hospital of Xinjiang Medical University from January 2017 to November 2019 were selected as the research subjects,and patients who were unplanned readmitted to the hospital within 31 days were selected into the readmission group,randomized by 1: 1 The non-readmitted patients in the same period were selected into the non-readmitted group.Calculate the readmission rate,compare the sociodemographic,disease and diagnosis data of the two groups,and use logistic regression to analyze the influencing factors of readmission,and infer the reasons for readmission.Results: There were 651 patients in the readmission group,and the readmission rate was 1.2%.In the univariate analysis,there were significant differences between the two groups in terms of gender,age,occupational category,Medical payment method,smoking history,family history of cardiovascular disease,major discharge diagnosis,and comorbidities and other aspects(P <0.05).In the multivariate logistic regression analysis,Basic medical insurance for urban residents is used as the medical payment method,smoking history,heart failure,unstable angina,previous PCI,combined kidney disease were risk factors(OR> 1,P <0.05).Hypertension or cardiac neurosis were the main discharge diagnosis,combined with liver disease,and surgical treatment were the non-risk factors(OR <1,P <0.05).Readmission to the hospital due to exacerbation or deterioration of the primary cardiovascular disease is the primary cause.Conclusion: The unplanned readmission rate of patients with cardiovascular disease within 31 days is low.Basic medical insurance for urban residents is used as the medical payment method,smoking history,heart failure,unstable angina,previous PCI,combined kidney diseaseshould be considered risk factors for readmission.The emphasis on readmission should be strengthened to identify high-risk patients early and intervene promptly.