Readmission determinants in Iranian people with heart failure: A literature review

This literature review was conducted to investigate determinants of readmission among Iranian people with heart failure.

Heart failure (HF) as a chronic progressive syndrome may reduce the quality of life and increase their treatment costs. The rate of readmission is relatively high in these patients, presenting a major health problem.

In the present literature review, the literature on the topic were searched out in databases PubMed, Google Scholar, Web of Science, ProQuest, Magiran, SID, and IranMedex. The terms heart failure, congestive heart failure, readmission, rehospitalization, and Iran were searched without time limit. Literature search and evaluating the articles were independently conducted by two researchers, and all eligible studies were included in the review process.

Out of 601 studies found in the initial search, seven articles meeting the inclusion criteria entered the final phase of the study and were reviewed. According to these studies, the readmission rate varied from 10.9 to 40 percent. Some of the important factors affecting the readmission rate in patients with heart failure included age, gender, education, job status, underlying disease, disease stage, poor adherence to the therapeutic regimen, insurance coverage status, and place of residence.

  Based on the results of the present study, the rate of readmission was high among Iranian patients with heart failure. It is recommended to consider interventions such as educational programs to improve patients’ awareness about this condition and their adherence to self-care activities.