Effect of Early Intervention With Positive Airway Pressure Therapy for Sleep Disordered Breathing on Six-Month Readmission Rates in Hospitalized Patients With Heart Failure
2016
Rehospitalization for congestive heart failure (CHF) is high within 6 months of discharge. Sleep disordered breathing (SDB) is common and underdiagnosed condition in patients with CHF. We hypothesized that early recognition and treatment of SDB in hospitalized patients with CHF will reduce hospital readmissions and emergency room visits. Patients admitted for CHF underwent overnight polysomnography within 4 weeks of discharge. Patients diagnosed with SDB were provided therapy with positive airway pressure therapy. Patients were identified as having good compliance if the device use was for a minimum of 4 hours 70% of the time for a minimum of 4 weeks during the first 3 months of therapy. Hospital admissions for 6 months before therapy were compared with readmission within 6 months after therapy in patients with good and poor compliance. A total of 70 patients were diagnosed with SDB after discharge. Of the 70 patients, 37 (53%) were compliant with positive airway pressure therapy. Compliant patients were more likely to be older (64 ± 12 vs 58 ± 11 years) and women (54% vs 33%) and less likely to be patient with diabetes (40% vs 67%) versus noncompliant patients. Although both groups experienced a decrease in total readmissions, compliant patients had a significant reduction (mean ± SE: −1.5 ± 0.2 clinical events vs −0.2 ± 0.3; p
Keywords:
- Polysomnography
- Continuous positive airway pressure
- Anesthesia
- Sleep apnea syndromes
- Internal medicine
- Cardiology
- Breathing
- Positive airway pressure
- Heart failure
- Intensive care medicine
- Poor compliance
- Diabetes mellitus
- Medicine
- Physical therapy
- after discharge
- hospitalized patients
- device use
- sleep disordered breathing
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
24
References
15
Citations
NaN
KQI