Patient stratification for risk of readmission due to heart failure by using nationwide administrative data

Background: identifying heart failure (HF) patients most at-risk of readmission permits targeting adapted interventions. The use of administrative data enables regulators to support the implementation of such interventions. Methods and results: in a French nationwide cohort of patients aged 65 years or older surviving an index hospitalization for HF in 2015 (N = 70 657), we studied HF readmission predictors available in administrative data, distinguishing HF severity from overall morbidity and taking into account the competing mortality risk, over a 1-year follow-up period. We also computed cumulative incidences and daily rates of HF readmission for patient groups defined upon HF severity and overall morbidity. 31.8% (n = 22 475) of patients were readmitted at least once for HF and 17.6% (n = 12 416) died without any HF readmission. HF severity and overall morbidity were the strongest HF readmission predictors (subdistibution Hazard Ratios 2.66 [95% CI: 2.52-2.81] and 1.37 [1.30-1.45] respectively, when comparing extreme categories). Overall morbidity and age were more strongly associated with the competing rate of death without HF readmission (cause-specific Hazard Ratios). Defined risk-groups had approximately 40% of separation in HF readmission proportion (21.9%, n = 2 144/9 786 versus 60.4%, n = 618/0 1023). Conclusions: segmentation of HF patients into readmission risk-groups is possible using administrative data and enables targeting of preventive interventions.

Author(s): Constantinou Panayotis, Pelletier-Fleury Nathalie, Olié Valérie, Gastaldi-Ménager Christelle, Juillère Yves, Tuppin Philippe

Publishing year: 2021

Pages: 266-276

In relation to

Our latest news

news

2026 “Sexual Behavior” Survey (ERAS) for men who have sex with men

news

Hervé Maisonneuve has been appointed scientific integrity officer for a...

Visuel illustratif

news

Public Health France 2026 Barometer: Launch of the Survey