Risk Factor of Congestive Heart Failure Patients Readmission At Pertamina Cirebon Hospital
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Heart failure is a complex clinical syndrome caused by structural or functional impairment of the heart, resulting in the inability to pump sufficient blood to meet the metabolic demands of body tissues. It commonly manifests as congestive heart failure and is associated with high morbidity, mortality, and frequent readmissions. Readmission refers to the rehospitalization of patients after discharge due to the recurrence or worsening of heart failure symptoms. This study aims to identify and analyze the risk factors associated with readmission among patients with congestive heart failure at Pertamina Hospital Cirebon. This analytical observational study employed a cross-sectional design. Data were collected using a total sampling technique and analyzed using chi-square and Fisher’s exact tests. A total of 72 eligible patients were included, of whom 27 (37.5%) experienced readmission. Factors significantly associated with readmission included medication adherence (p = 0.001; OR = 5.50; 95% CI = 1.94–15.5), adherence to a low-sodium diet (p = 0.018; OR = 3.29; 95% CI = 1.21–8.97), and adherence to fluid restriction (p = 0.003; OR = 4.49; 95% CI = 1.61–12.5). Comorbidities significantly associated with readmission included hypertension (p = 0.012; OR = 3.71; 95% CI = 1.29–10.6), coronary artery disease (p = 0.002; OR = 5.17; 95% CI = 1.80–14.8), and diabetes mellitus (p = 0.021; OR = 4.00; 95% CI = 1.17–13.6). These findings indicate that medication adherence, dietary and fluid restrictions, and comorbidities are key factors associated with hospital readmission in patients with congestive heart failure.
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