Prevalencia de reingreso por Insuficiencia Cardiaca y factores asociados en los pacientes mayores de 40 años del “Hospital Vicente Corral Moscoso”. Cuenca 2018-2020

Abstract

Heart Failure (HF) is the inability to satisfy the peripheral metabolic demands of the organism. Its decompensation is influenced by factors that determine hospital readmissions, raising morbidity and mortality rates. Objective: to determine the prevalence of readmission due to HF and associated factors in patients older than 40 years at the “Vicente Corral Moscoso Hospital”. Basin 2018-2020. Methodology: study in 120 medical records of patients over 40 years of age, of Internal Medicine, with a diagnosis of HF who were readmitted due to decompensation during the period 2018-2020. The information was collected in a form prepared by the authors and was analyzed in the SPSS v15 statistical program using descriptive statistics such as frequency and percentage, measures of central tendency as means, and dispersion as standard deviation (SD); odds ratio (OR) with an interval 95% confidence, for statistical significance, the Chi square test with was used with its value p < 0.005. Results: the prevalence of readmission for heart failure was 33.3%, with a mean age of 72 years and a standard deviation of ±13.69; 57.5% were women, readmission was associated with pathologies such as Diabetes mellitus type 2 (2DM), OR 3 (95% CI, 1.16-7.73, p= 0.02), use of antiplatelet agents, OR 8.78 (95% CI 0.95-81.34, p =0.02) and use diuretics, OR 3.16 (95% CI 1.41-7.09, p=0.04). Conclusions: the prevalence of readmission of patients due to heart failure was higher in older adults, with a predominance of females, associated with 2DM and consumption of diuretics and antiaggregants.