{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T12:36:48Z","timestamp":1768739808073,"version":"3.49.0"},"reference-count":14,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T00:00:00Z","timestamp":1515369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>The role of intravenous hydration on hospital readmissions due to acute exacerbation of congestive heart failure (CHF) has not been studied sufficiently to the best of our knowledge. We sought to determine the possible role of intravenous hydration on hospital readmissions for acute CHF and fluid overload and explain how an intravenous fluid (IVF) restriction strategy may help reduce hospital readmission rates. We retrospectively studied the electronic medical records of 98-patient cohort who had hospital readmission due to acute decompensated congestive heart failure (ADHF) during the period of January 1, 2016 to July 9, 2016. These patients were admitted with reasons other than ADHF during the index admission. The patients were divided into two groups; those with ADHF readmissions within 15 days of index admission (group A) and those after 15 days (group B). Various factors affecting CHF readmissions as outlined in the results were compared between these two groups. Cohort of 98 patients (53 females, 54.1%; 76.4\u00b111.6 years) re-admitted during the study period of 1\/1\/2016 to 7\/9\/2016 were analyzed. 71 patients had only received IVF during index admission. These were subdivided into group A (12 females, 54.5 %; mean age 75.9\u00b112.9 years) and group B (25 females, 51.02%; mean age 76.08\u00b111.90 years) based on readmission \u226415 days or &gt;15 days from the index admission. There was no statistically significant difference (P=0.97) in amount of IVF prescribed between two subgroups but the duration of prescribed IVF significantly affected readmission in group A compared to group B (P=0.03). While the drop in albumin and rise in creatinine were not significant, the mean hemoglobin (Hb) drop in group A compared to group B was significant at P=0.008. Type of IVF and nature of CHF (heart failure with reduced ejection fraction, HFrEF\/heart failure with preserved ejection fraction, HFpEF) were not found to significantly affect early readmissions associated with IV hydration. In patients with history of CHF, duration of IVF prescribed during the index admission seems to play important role in early CHF readmission (defined as &lt;15 days in our study).<\/jats:p>","DOI":"10.4081\/cp.2018.981","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T11:33:35Z","timestamp":1515411215000},"page":"981","source":"Crossref","is-referenced-by-count":2,"title":["Determining the Role of Intravenous Hydration on Hospital Readmissions for Acute Congestive Heart Failure"],"prefix":"10.3390","volume":"8","author":[{"given":"Munish","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi Kumar","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh","family":"Krishnamurthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Snyder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,1,8]]},"reference":[{"key":"ref1","first-page":"1500","article-title":"Harrison\u2019s principles of internal medicine, 19th ed.","author":"Kasper","year":"2015","journal-title":"Chapter number 279."},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1016\/j.jacc.2013.11.053","article-title":"The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries","volume":"63","author":"Ambrosy","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jacc.2008.11.013","article-title":"2009 Focused update incorporated into the ACC\/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation","volume":"53","author":"Hunt","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"M88","DOI":"10.1093\/gerona\/56.2.M88","article-title":"Heart failure in the 21st century: a cardiogeriatric syndrome","volume":"56","author":"Rich","year":"2001","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1161\/CIRCULATIONAHA.112.125435","article-title":"Rehospitalization for heart failure: predict or prevent?","volume":"126","author":"Desai","year":"2012","journal-title":"Circulation"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1111\/j.1532-5415.1997.tb03087.x","article-title":"The sequelae of hospitalization for congestive heart failure among older adults","volume":"45","author":"Wolinsky","year":"1997","journal-title":"J Am Geriatr Soc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"2337","DOI":"10.1001\/archinte.161.19.2337","article-title":"Acute precipitants of congestive heart failure exacerbations","volume":"161","author":"Tsuyuki","year":"2001","journal-title":"Arch Intern Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"3958","DOI":"10.1161\/CIRCULATIONAHA.105.590091","article-title":"Acute heart failure syndromes: current state and framework for future research","volume":"112","author":"Gheorghiade","year":"2005","journal-title":"Circulation"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1038\/nrcardio.2010.165","article-title":"Epidemiology and risk profile of heart failure","volume":"8","author":"Bui","year":"2011","journal-title":"Nat Rev Cardiol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1161\/CIRCOUTCOMES.111.000101","article-title":"Hospital strategies associated with 30-day readmission rates for patients with heart failure","volume":"6","author":"Bradley","year":"2013","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1161\/01.CIR.88.5.2277","article-title":"Effects of the angiotensin converting enzyme inhibitor enalapril on the long-term progression of left ventricular dilatation in patients with asymptomatic systolic dysfunction. 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