Determinants of Early Readmission After Hospitalization for Heart Failure

Eastwood, Catherine; Howlett, Jonathan G.; King‐Shier, Kathryn; McAlister, Finlay A.; Quan, Hude

doi:10.1016/j.cjca.2014.02.017

Cited by 44 publications

(52 citation statements)

References 33 publications

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“…Approximately one third of these patients are hospitalized annually (1) . The factors related to readmission are the presence of other medical conditions, age (5)(6) , inadequate left ventricular ejection fraction (LVEF), among others (7) . In 2011, there were 258,069 admissions and the mortality proportion was 9.34% (8) , with predominance of the male gender among hospitalizations due to HF decompensation (9) .…”

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confidence: 99%

Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Ferreira

Silva

Furuya

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. Method: A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). Results: No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). Conclusion: Special attention should be given to women with HF considering self-care and depressive symptoms. DESCRIPTORSHeart Failure; Self Care; Sense of Coherence; Depression; Hospitalization; Nursing Care.Self-care, sense of coherence and depression in patients hospitalized for decompensated heart failure Autocuidado, senso de coerência e depressão em pacientes hospitalizados por insuficiência cardíaca descompensada Autocuidado, sentido de coherencia y depresión en pacientes hospitalizados por insuficiencia cardiaca descompensada INTRODUCTIONHeart failure (HF) is a chronic condition of complex treatment for involving multiple factors in its origin and evolution, as well as high socioeconomic costs (1) . It is also a public health priority and its prevalence increased over the last decade. Low cost strategies such as using electronic messages have been tested to promote adherence to selfcare behaviors in the long run without straining the health resources (2) . Achieving results of impact for patients and the health system is a major challenge for HF management.Despite advances in the diagnosis and treatment of HF, the disease morbidity and mortality remain high. In addition, HF patients have high rates of readmissions, with about 30% of patients readmitted in a year period (1,3) , and each hospitalization adding extra weight to worsening the survival curve (4) . The HF decompensation is detrimental for both the physical as the emotional performance of patients, and contributes to a reduction in life expectancy and worsening in quality of life (3) . In Brazil, there are about 6.5 million patients with HF. Approximately one third of these patients are hospitalized annually (1) . The factors related to readmission are the presence of other medical conditions, age (5)(6) , inadequate left ventricular ejection fraction (LVEF), among others (7) . In 2011, there were 258,069 admissions and the mortality proportion was 9.34% (8) , with predominance of the male gender among hospitalizations due to HF decompensation (9) . Several factors can lead patients with HF to clinical decompensation, as the...

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confidence: 99%

Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Ferreira

Silva

Furuya

et al. 2015

Rev. esc. enferm. USP

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“…Other studies have found no association between specialist or cardiologist care and 30-or 60-day readmission after HF hospitalization. 2,7,25 One might expect specialists to provide more thorough treatment resulting in fewer readmissions. Alternatively, a greater number of readmissions may represent more intensive monitoring and more aggressive treatment by a specialist.…”

Section: Physician Typementioning

confidence: 99%

“…1 In Alberta, Canada, where this study was undertaken, 18% of HF patients hospitalized between 2004 and 2008 experienced unplanned readmission within 30 days, one-third of which occurred within the first 7 days. 2 Readmission to hospital within 7 days after discharge may more closely reflect inadequacies associated with the initial hospital stay than the more commonly used outcome measure of readmission within 30 days after discharge. 3Y6 Yet, few researchers focus on this 7-day outcome.…”

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confidence: 99%

“…A recent study shows that factors associated with increased likelihood of all-cause 7-day readmissions include history of kidney disease, transfer to index hospital, discharged with homecare services, and discharged against medical advice. 2 Other studies reported that factors associated with 7-day readmissions include patient characteristics such as age, sex, marital status, comorbid conditions, reason for index (first) admission, and clinical status near discharge. 7,8 Frailty is a patient characteristic that may be a valuable maker of severity and potential factor influencing 7-day readmissions.…”

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confidence: 99%

“…Patients admitted for HF older than 75 years exhibited a significantly greater likelihood of 30-day readmission. 2 Frailty is interrelated with comorbidity and disability and is evidenced by dependency on others for activities of daily living. 9 This is especially true for elderly patients when afflicted with HF that can affect strength, gait, endurance, and cognition.…”

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confidence: 99%

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Factors Associated With 7-Day Rehospitalization After Heart Failure Admission

et al. 2017

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Aetiology, timing and clinical predictors of early vs. late readmission following index hospitalization for acute heart failure: insights from ASCEND‐HF

Fudim

O’Connor

Dunning

et al. 2017

European J of Heart Fail

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In this hospitalized HF trial population, a significant majority of 30-day readmissions were for non-HF causes and one-third of readmissions occurred in the first 7 days. Early and late readmissions within the 30-day timeframe were associated with similarly increased risk for death. Continued efforts to optimize multidisciplinary transitional care are warranted to improve rates of early readmission.

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Determinants of Early Readmission After Hospitalization for Heart Failure

Cited by 44 publications

References 33 publications

Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure

Factors Associated With 7-Day Rehospitalization After Heart Failure Admission

Aetiology, timing and clinical predictors of early vs. late readmission following index hospitalization for acute heart failure: insights from ASCEND‐HF

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