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Readmission rates among cardiology inpatients with echocardiography abnormalities associated with heart failure



Heart failure is a condition associated with significant morbidity. It is caused by structural or functional abnormalities of the heart. Many of these abnormalities if detected and managed early would prevent the onset of heart failure.


The aim of this study was to to determine the usefulness of echocardiography as a means of predicting readmission rates. A secondary aim was to profile patients with echocardiography abnormalities.


This was a prospective cohort study that followed patients over 36 months. Data were abstracted from the medical records of 76 cardiology patients in a large urban teaching hospital between 1.6.11 and 31.8.14. The outcome of interest was the number of readmissions occurring up to 48 months after discharge. We also aimed to profile these patients in terms of their co-morbidities and their medication history.


Of those patients who had echocardiography (n = 447), 76 were considered to have a cardiac disorder (HHD, VHD, or LVSD) (n = 29). The mean readmission rate for HHD was 0.82, LVSD 0.62, and HHD 0.98. Patients with HHD were associated with a higher readmission rate of 1.8980 and for LVSD—1.24 times more likely. Those with a cardiac disorder were 13 % more likely to have a readmission within the next 36 months than those without a cardiac disorder.


A significant proportion of patients were found to have a cardiac disorder related to HF. Echocardiographic abnormalities were shown to be an independent risk factor for readmission.

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  1. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, Jessup M, Konstam MA, Mancini DM, Michl K, Oates JA, Rahko PS, Silver MA, Stevenson LW, Yancy CW, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B (2005) ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation 112(12):e154–e235.

  2. Ho KK, Anderson KM, Kannel WB, Grossman W, Levy D (1993) Survival after the onset of congestive heart failure in Framingham Heart Study subjects. Circulation 88(1):107–115

    CAS  Article  PubMed  Google Scholar 

  3. IHF (2002) Irish Heart Foundation Council on Heart Failure Position Document—from Crisis to control: a cohesive strategy for the hospital management of heart failure in Ireland. Version 7

  4. Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, Stromberg A, van Veldhuisen DJ, Atar D, Hoes AW, Keren A, Mebazaa A, Nieminen M, Priori SG, Swedberg K, Vahanian A, Camm J, De Caterina R, Dean V, Funck-Brentano C, Hellemans I, Kristensen SD, McGregor K, Sechtem U, Silber S, Tendera M, Widimsky P, Zamorano JL (2008) ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J 29(19):2388–2442. doi:ehn309

  5. Davie AP, Francis CM, Caruana L, Sutherland GR, McMurray JJ (1997) Assessing diagnosis in heart failure: which features are any use? QJM 90(5):335–339

    CAS  Article  PubMed  Google Scholar 

  6. Fahey T, Jeyaseelan S, McCowan C, Carr E, Goudie BM, Pringle SD, Donnan PT, Sullivan FM, Struthers AD (2007) Diagnosis of left ventricular systolic dysfunction (LVSD): development and validation of a clinical prediction rule in primary care. Fam Pract 24(6):628–635

  7. Kelly R, Struthers AD (1999) Screening for left ventricular systolic dysfunction in patients with stroke, transient ischaemic attacks, and peripheral vascular disease. QJM 92:295–297

    CAS  Article  PubMed  Google Scholar 

  8. Schiller NB (1991) Two-dimensional echocardiographic determination of left ventricular volume, systolic function, and mass: summary and discussion of the 1989 recommendations of the American Society of Echocardiography. Circulation 84:280–287. doi:10.1093/fampra/cmm055

    Google Scholar 

  9. Thavendiranathan P, Grant A, Yingchoncharoen T (2014) Prediction of 30-day heart failure-specific readmission risk by echocardiographic parameters. Am J Cardiol 113(2):335–341

    Article  PubMed  Google Scholar 

  10. Eriksson H, Svardsudd K, Caidahl K, Bjuro T, Larsson B, Welin L, Ohlson LO, Wilhelmsen L (1988) Early heart failure in the population. The study of men born in 1913. Acta Med Scand 223(3):197–209

    CAS  Article  PubMed  Google Scholar 

  11. Parameshwar J, Shackell MM, Richardson A, Poole-Wilson PA, Sutton GC (1992) Prevalence of heart failure in three general practices in north west London. Br J Gen Pract 42(360):287–289

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Nielsen OW, Hilden J, Larsen CT, Hansen JF (2001) Cross sectional study estimating prevalence of heart failure and left ventricular systolic dysfunction in community patients at risk. Heart 86:172–178

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  13. CowieMR WoodA, Coats AJ, Thompson SG, Poole-Wilson PA, Suresh V, Sutton GC (1999) Incidence and aetiology of heart failure; a population-based study. Eur Heart J 20:421–428

    Article  Google Scholar 

  14. Ho KK, Pinsky JL, Kannel WB, Levy D (1993) The epidemiology of heart failure: the Framingham Study. J Am Coll Cardiol 22(4):6A–13A

    CAS  Article  PubMed  Google Scholar 

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Correspondence to L. O’ Halloran.

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All applicable international, national, and/or institutional guidelines for the care and use of animals were followed. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with human participants or animals performed by any of the authors. This study was approved by the ethical committee of the Royal College of Surgeons in Ireland.

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O’ Halloran, L., McAdam, B., Morgan, K. et al. Readmission rates among cardiology inpatients with echocardiography abnormalities associated with heart failure. Ir J Med Sci 185, 717–722 (2016).

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  • Heart failure
  • Readmission
  • Screening
  • Echocardiography