Table of Contents
Advances in Nephrology
Volume 2014 (2014), Article ID 261531, 6 pages
http://dx.doi.org/10.1155/2014/261531
Research Article

Association between Severity of Anemia and 30-Day Readmission Rate: Archival Data of 847 Patients with Acute Decompensated Heart Failure

1West Kendall Baptist Hospital, 9555 SW 162nd Avenue, Miami, FL 33196, USA
2Baptist Health South Florida, 8500 SW 117th Road, Miami, FL 33183, USA

Received 10 April 2014; Revised 22 June 2014; Accepted 25 June 2014; Published 14 July 2014

Academic Editor: Francois Madore

Copyright © 2014 Jorge C. Busse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hospitals today are facing adjustments to reimbursements from excessive readmission rates. One of the most common and expensive causes of readmissions is exacerbation of a heart failure condition. The objective of this paper was to determine if there was an association between the presence of anemia in patients with acute decompensated heart failure and their readmission rate. Using archival data of 4 hospitals in the Miami area, a sample of 847 inpatients with a diagnostic related group (DRG) of HF at discharge was considered. There was a significant association between low hemoglobin values and a high rate of readmissions at 14 days and at 30 days in subjects with normal sodium and creatinine values. For subjects with low sodium and high creatinine values, a higher readmission rate was seen in men with low hemoglobin but not in women. These results support a prospective effort to measure the impact of anemia and its treatment on readmission rates.