Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016
Background and objectives: Data on population-level outcomes after heart failure (HF) hospitalisation in Asia is sparse. This study aimed to estimate readmission and mortality after hospitalisation among HF patients and examine temporal variation by sex and ethnicity. Methods: Data for 105,399 patie...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2022-03-01
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| Series: | Global Heart |
| Subjects: | |
| Online Access: | https://globalheartjournal.com/articles/1108 |
| _version_ | 1811339448936300544 |
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| author | Yvonne Mei Fong Lim Su Miin Ong Stefan Koudstaal Wen Yea Hwong Houng Bang Liew Jeyamalar Rajadurai Diederick E. Grobbee Folkert W. Asselbergs Sheamini Sivasampu Ilonca Vaartjes |
| author_facet | Yvonne Mei Fong Lim Su Miin Ong Stefan Koudstaal Wen Yea Hwong Houng Bang Liew Jeyamalar Rajadurai Diederick E. Grobbee Folkert W. Asselbergs Sheamini Sivasampu Ilonca Vaartjes |
| author_sort | Yvonne Mei Fong Lim |
| collection | DOAJ |
| description | Background and objectives: Data on population-level outcomes after heart failure (HF) hospitalisation in Asia is sparse. This study aimed to estimate readmission and mortality after hospitalisation among HF patients and examine temporal variation by sex and ethnicity. Methods: Data for 105,399 patients who had incident HF hospitalisations from 2007 to 2016 were identified from a national discharge database and linked to death registration records. The outcomes assessed here were 30-day readmission, in-hospital, 30-day and one-year all-cause mortality. Results: Eighteen percent of patients (n = 16786) were readmitted within 30 days. Mortality rates were 5.3% (95% confidence interval (CI) 5.1–5.4%), 11.2% (11.0–11.4%) and 33.1% (32.9–33.4%) for in-hospital, 30-day and 1-year mortality after the index admission. Age, sex and ethnicity-adjusted 30-day readmissions increased by 2% per calendar year while in-hospital and 30-day mortality declined by 7% and 4% per year respectively. One-year mortality rates remained constant during the study period. Men were at higher risk of 30-day readmission (adjusted rate ratio (RR) 1.16, 1.13–1.20) and one-year mortality (RR 1.17, 1.15–1.19) than women. Ethnic differences in outcomes were evident. Readmission rates were equally high in Chinese and Indians relative to Malays whereas Others, which mainly comprised Indigenous groups, fared worst for in-hospital and 30-day mortality with RR 1.84 (1.64–2.07) and 1.3 (1.21–1.41) relative to Malays. Conclusions: Short-term survival was improving across sex and ethnic groups but prognosis at one year after incident HF hospitalisation remained poor. The steady increase in 30-day readmission rates deserves further investigation. |
| first_indexed | 2024-04-13T18:26:47Z |
| format | Article |
| id | doaj.art-9aa360cf05c5463e83dbdc3188fb4a52 |
| institution | Directory Open Access Journal |
| issn | 2211-8179 |
| language | English |
| last_indexed | 2024-04-13T18:26:47Z |
| publishDate | 2022-03-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj.art-9aa360cf05c5463e83dbdc3188fb4a522022-12-22T02:35:14ZengUbiquity PressGlobal Heart2211-81792022-03-0117110.5334/gh.1108927Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016Yvonne Mei Fong Lim0Su Miin Ong1Stefan Koudstaal2Wen Yea Hwong3Houng Bang Liew4Jeyamalar Rajadurai5Diederick E. Grobbee6Folkert W. Asselbergs7Sheamini Sivasampu8Ilonca Vaartjes9Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, NL; Institute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia, SelangorInstitute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia, SelangorDepartment of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, Utrecht University, Utrecht; Dept of Cardiology, Groene Hart Ziekenhuis, GoudaJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht; Institute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia, SelangorDepartment of Cardiology, Queen Elizabeth II Hospital, Ministry of Health Malaysia, SabahDepartment of Cardiology, Subang Jaya Medical Centre, SelangorJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht; Julius Clinical, ZeistDepartment of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, Utrecht University, Utrecht, NL; Institute of Cardiovascular Science and Institute of Health Informatics, Faculty of Population Health Sciences, University College London, LondonInstitute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia, SelangorJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, UtrechtBackground and objectives: Data on population-level outcomes after heart failure (HF) hospitalisation in Asia is sparse. This study aimed to estimate readmission and mortality after hospitalisation among HF patients and examine temporal variation by sex and ethnicity. Methods: Data for 105,399 patients who had incident HF hospitalisations from 2007 to 2016 were identified from a national discharge database and linked to death registration records. The outcomes assessed here were 30-day readmission, in-hospital, 30-day and one-year all-cause mortality. Results: Eighteen percent of patients (n = 16786) were readmitted within 30 days. Mortality rates were 5.3% (95% confidence interval (CI) 5.1–5.4%), 11.2% (11.0–11.4%) and 33.1% (32.9–33.4%) for in-hospital, 30-day and 1-year mortality after the index admission. Age, sex and ethnicity-adjusted 30-day readmissions increased by 2% per calendar year while in-hospital and 30-day mortality declined by 7% and 4% per year respectively. One-year mortality rates remained constant during the study period. Men were at higher risk of 30-day readmission (adjusted rate ratio (RR) 1.16, 1.13–1.20) and one-year mortality (RR 1.17, 1.15–1.19) than women. Ethnic differences in outcomes were evident. Readmission rates were equally high in Chinese and Indians relative to Malays whereas Others, which mainly comprised Indigenous groups, fared worst for in-hospital and 30-day mortality with RR 1.84 (1.64–2.07) and 1.3 (1.21–1.41) relative to Malays. Conclusions: Short-term survival was improving across sex and ethnic groups but prognosis at one year after incident HF hospitalisation remained poor. The steady increase in 30-day readmission rates deserves further investigation.https://globalheartjournal.com/articles/1108outcomesheart failuretrendsethnicity |
| spellingShingle | Yvonne Mei Fong Lim Su Miin Ong Stefan Koudstaal Wen Yea Hwong Houng Bang Liew Jeyamalar Rajadurai Diederick E. Grobbee Folkert W. Asselbergs Sheamini Sivasampu Ilonca Vaartjes Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 Global Heart outcomes heart failure trends ethnicity |
| title | Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 |
| title_full | Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 |
| title_fullStr | Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 |
| title_full_unstemmed | Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 |
| title_short | Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016 |
| title_sort | trends for readmission and mortality after heart failure hospitalisation in malaysia 2007 to 2016 |
| topic | outcomes heart failure trends ethnicity |
| url | https://globalheartjournal.com/articles/1108 |
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