Their medical risk factors including other illnesses and their severity and behavioral risk factors including depression and such cognitive impairments as loss of reasoning, planning, forgetfulness and other reduced mental functions as well as admissions during the past year and readmissions during the previous 30 days were recorded.
The patient group was 62 percent male with an average age of 66. Central nervous system disorders including Alzheimer's, dementia, closed-head injury and others were present in 21 percent. Nearly 70 percent lived with a family member, 24 percent acknowledged a psychiatric history, 36 percent used or had used antidepressants, 40 percent had coronary artery disease, 43 percent had diabetes, 86 percent had hypertension, 20 percent had chronic obstructive pulmonary disease, 48 percent had chronic kidney disease and 24 percent were alcohol or drug abusers.
The researchers found that depression, a history of substance abuse, and a history of coronary artery disease were related to hospital admissions during the previous year.
Factors in 30-day readmission rates included immediate memory problems and a history of psychiatric treatment and/or the use of an antidepressant. The severity of congestive heart failure, however, was not a factor in either admission or readmission rates.
"Our results agree with several recent studies in finding an adverse impact of depression on admission and readmission rates," Ketterer says.
"In addition, substance abuse and chronic kidney disease may also adversely impact these rates in congestive heart failure patients.
"Even severe heart disease, except in the extreme, appears to be manageable after release from the hospital
|Contact: Dwight Angell|
Henry Ford Health System