Corelația dintre stilul de viață nesănătos, reinternarea în perioada vulnerabilă și mortalitatea intraspitalicească și la un 1 an la pacienții cu insuficiență cardiacă.

Purpose. The present study aim to identify whether an unhealthy lifestyle, defined as active smoking and hypersodium diet, leads to a higher likelihood of readmission of patients with heart failure (HF) during the vulnerable period or to an increased risk of in-hospital mortality and one year mortality. The vulnerable period for patients with heart failure refers to the first 90 days after discharge. Material and methods. This was a retrospective study conducted in the Cardiology Clinic of the Emergency Clinical Hospital “Bagdasar Arseni” in Bucharest, between October 2018 and October 2019 and enrolled 500 patients with heart failure. After applying the inclusion and exclusion criteria, 198 patients remained eligible for inclusion in this study. Demographic data as well as those related to the presence of complications during hospitalization and in-hospital mortality were collected from the observation sheet and from the database of the “Bagdasar Arseni” hospital. Data on readmission in the first 90 days after the reference discharge and one year mortality were assessed by telephone and using the Hipocrate software. All data obtained were entered into the Microsoft Excel database and were statistically processed using the Python program. Results. An unhealthy lifestyle increase the probability of readmission by 12% and the risk of in-hospital mortality by 17%. Younger patients tends to have an unhealthy lifestyle compared to the elderly (p-value = 0.000). Men have an unhealthy lifestyle (p- value = 0.000). Professionally active people tend to have an unhealthy lifestyle (p-value = 0.02). No statistically significant differences were observed in terms of the unhealthy lifestyle of people from urban or rural areas. Conclusions. The present study highlights the fact that an unhealthy lifestyle increase the mortality rate and readmissions in patients with heart failure. From the analyzed data, our study is the first study that measured the cumulative impact of modifiable risk factors related to lifestyle on readmission in the vulnerable period. We believe that these results could be the basis of a future study that would include a larger number of a patients and more modifiable factors. [ABSTRACT FROM AUTHOR]