Summary:
The authors investigated perspectively during 1998 the frequency of early rehospitalizations
(within 30 days after discharge) focused on cardiovascular diseases. From a total number of
hospitalized patients (2349) early rehospitalized patients accounted for 91 % (214 rehospitalzati-
ons). Rehospitalizations after cardiac attacks accounted for 45.4 % rehospitalizations and for 4.1 %
of all hospitalized patients. The largest ratio of rehospitalizations on account of cardiovasular
diseases were patients with heart failure (39.1 %), with cardiac arrhythmias (22.6 %) and unstable
angina pectoris (21.6 %). In relation to the number of total hospital admissions most frequently
patients with unstable angina pectoris were rehospitalized within 30 days after discharge
(20.1 %). Least frequently patients with myocardial infarction , a cerebrovascular attack and hy-
pertension were rehospitalized (3.1 %, 3.0 %,1.9 %). An important factor which was followed up
was the cause of rehospitalization which was assessed in 54.6 % of patients. In patients with heart
failure in as many as 71 %.
The authors assume that in this percentage of rehospitalizations it should be possible to avert it
and to reduce thus at the same time economic costs.It was not possible to assess exactly the role
of social factors in rehospitalizations but it is possible that they were identical with the cause on
the part of the patient and participated by 17.5 - 21 % in rehospitalizations ( see tables 7 and 11).
Key words:
Early rehospitalization - Cardiovascular diseases - Causes of rehospitalization - Re-
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