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Abstract 315: Anemia predicts 30-Day Hospital Readmission for Heart Failure in African Americans


 Background:
 Anemia is a frequently encountered comorbidity that affects both death and hospitalization in patients with heart failure (HF). The effect of anemia on 30-day hospital readmission in African Americans (AA) with HF has not been studied.
 
 
 Methods:
 We retrospectively enrolled all 243 (61% female) self-reported AA adults admitted to the University of Illinois at Chicago hospital with the diagnosis of HF from January 2011 to December 2012. Extensive medical chart reviews were performed.
 
 
 Results:
 The prevalence of anemia with hemoglobin (Hb) <12g/dl was 64.6%. After adjusting for factors known to affect readmission (table), lower Hb (<12g/dl) levels were associated with increased 30-day readmission rates (OR 0.814, 95% CI 1.6-20.7, p=0.008) in a Cox proportional hazard logistic regression model.
 
 
 Conclusion:
 Lower Hb levels are associated with higher 30-day readmission rates in hospitalized AA patients with HF. Interventions towards appropriate treatment and prevention of anemia in AA with HF might reduce their readmission rates and improve their outcome.
 
 
 
