Causes of readmission in ischemic heart disease patients

Introduction: Ischemic heart diseases are the most prevalent causes of diseases in
hospitals and are the second cause of mortality in Iran. Treatment cost for most
of these preventable causes of readmission is remarkably high. This study is
designed to investigate the readmission causes of ischemic heart diseases in
Bandar Abbas.
Methods: In this descriptive study, during a 6 month period, all readmitted
patients with history of acute coronary syndrome including non Q wave
myocardial infarction, unstable angina and myocardial infarction, admitted in
emergency ward of Shahid Mohammadi hospital, Bandar Abbas, were
investigated. The data were collected from the patient or from their medical files
and recorded in a pre-designed questionnaire and the results were presented using
descriptive methods.
Results: A total of 75 patients were investigated. In most cases, multifactor
causes were responsible for readmission of the patients. The most frequent
factors for readmission were irregular consumption of medicine, psychic stress of
the patient, irregular daily activities and continuing smoking.
Conclusion: Readmission process and its imposed costs on the patients and the
nationwide medical system emphasize the need to review the problem with a new
light for more relevant actions. A new education program for IHD patients may
be helpful in reducing the readmission cases.