Transitional Care to Reduce Heart Failure Readmission Rates in South East Asia

Chan, Woon‐Khiong; Lin, Weiqin; Wong, Raymond Chung Wen

doi:10.15420/cfr.2016:9:2

Cited by 8 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Standardised strategies to differentiate the severity of patients who present at the emergency department would be useful for risk stratifying them into those who require admission while the rest may be observed and treated on an outpatient basis. We know that half of these readmissions are due to non-cardiovascular causes; therefore, multi-faceted assessments which address all comorbidities can be incorporated into early care transition to outpatient clinics, nurse-led home visits and structured telephone monitoring, all of which have shown moderate effectiveness in reducing rehospitalisations [46,47].…”

Section: Discussionmentioning

confidence: 99%

Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016

Lim

Ong

Koudstaal

et al. 2022

View full text Add to dashboard Cite

Background and objectives: Data on population-level outcomes after heart failure (HF) hospitalisation in Asia is sparse. This study aimed to estimate readmission and mortality after hospitalisation among HF patients and examine temporal variation by sex and ethnicity.Methods: Data for 105,399 patients who had incident HF hospitalisations from 2007 to 2016 were identified from a national discharge database and linked to death registration records. The outcomes assessed here were 30-day readmission, inhospital, 30-day and one-year all-cause mortality.Results: Eighteen percent of patients (n = 16786) were readmitted within 30 days. Mortality rates were 5.3% (95% confidence interval (CI) 5.1-5.4%), 11.2% (11.0-11.4%) and 33.1% (32.9-33.4%) for in-hospital, 30-day and 1-year mortality after the index admission. Age, sex and ethnicity-adjusted 30-day readmissions increased by 2% per calendar year while in-hospital and 30-day mortality declined by 7% and 4% per year respectively. One-year mortality rates remained constant during the study period. Men were at higher risk of 30-day readmission (adjusted rate ratio (RR) 1.16, 1.13-1.20) and one-year mortality (RR 1.17, 1.15-1.19) than women. Ethnic differences in outcomes were evident. Readmission rates were equally high in Chinese and Indians relative to Malays whereas Others, which mainly comprised Indigenous groups, fared worst for in-hospital and 30-day mortality with RR 1.84 (1.64-2.07) and 1.3 (1.21-1.41) relative to Malays.Conclusions: Short-term survival was improving across sex and ethnic groups but prognosis at one year after incident HF hospitalisation remained poor. The steady increase in 30-day readmission rates deserves further investigation.

show abstract

Section: Discussionmentioning

confidence: 99%

Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016

Lim

Ong

Koudstaal

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Globally, there is a wide disparity in how people living with HF are followed up after a hospital admission. For example, in the United Kingdom, Sweden, and Denmark, follow-up is conducted by an HF team involving specialist nurses and pharmacists, whereas in other countries hospitalized patients are discharged to primary care with no or minimal follow-up [ 52 ]. The European Society of Cardiology guidelines for acute and chronic HF recommend “that evidence-based oral medical treatment be administered before discharge” and that a follow-up visit occur 1–2 weeks after discharge [ 53 ].…”

Section: Main Textmentioning

confidence: 99%

Challenges and opportunities for increasing patient involvement in heart failure self-care programs and self-care in the post–hospital discharge period

Butler

Petrie

Bains³

et al. 2023

Res Involv Engagem

View full text Add to dashboard Cite

Background People living with heart failure (HF) are particularly vulnerable after hospital discharge. An alliance between patient authors, clinicians, industry, and co-developers of HF programs can represent an effective way to address the unique concerns and obstacles people living with HF face during this period. The aim of this narrative review article is to discuss challenges and opportunities of this approach, with the goal of improving participation and clinical outcomes of people living with HF. Methods This article was co-authored by people living with HF, heart transplant recipients, patient advocacy representatives, cardiologists with expertise in HF care, and industry representatives specializing in patient engagement and cardiovascular medicine, and reviews opportunities and challenges for people living with HF in the post–hospital discharge period to be more integrally involved in their care. A literature search was conducted, and the authors collaborated through two virtual roundtables and via email to develop the content for this review article. Results Numerous transitional-care programs exist to ease the transition from the hospital to the home and to provide needed education and support for people living with HF, to avoid rehospitalizations and other adverse outcomes. However, many programs have limitations and do not integrally involve patients in the design and co-development of the intervention. There are thus opportunities for improvement. This can enable patients to better care for themselves with less of the worry and fear that typically accompany the transition from the hospital. We discuss the importance of including people living with HF in the development of such programs and offer suggestions for strategies that can help achieve these goals. An underlying theme of the literature reviewed is that education and engagement of people living with HF after hospitalization are critical. However, while clinical trial evidence on existing approaches to transitions in HF care indicates numerous benefits, such approaches also have limitations. Conclusion Numerous challenges continue to affect people living with HF in the post–hospital discharge period. Strategies that involve patients are needed, and should be encouraged, to optimally address these challenges.

show abstract

“…In Singapore, age-adjusted HF hospital admission rate rose by 38% from 1991 to 1998 [9]. More recently, local data from public institutions show that HF readmission rate is 18%, with an average length of stay of 5.2 days per admission [11], which is similar to the average length of hospital stay (5-10 days) across the globe [2]. The lengthy and recurring hospital stays required by the patients not only account for the majority of health care expenditure but also pose additional challenges for hospital administrators to plan and allocate the scarce manpower and medical resources [7].…”

Section: Introductionmentioning

confidence: 99%

Health Promotion and Self-Management Among Patients with Chronic Heart Failure

Jiang

Wang

2021

Health Promotion in Health Care – Vital Theories and Research

View full text Add to dashboard Cite

Heart failure is a chronic and complex clinical syndrome. It is one of the common causes of hospitalization and readmission among the older population. Patient self-management is essential to maintaining health and avoiding disruption of life caused by frequent hospitalizations. However, many patients lack self-care skills. This chapter provides a review on evidence for the importance of self-management and strategies to educate patients and promote self-care while living with the limitations on physical function.

show abstract

Transitional Care to Reduce Heart Failure Readmission Rates in South East Asia

Cited by 8 publications

References 19 publications

Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016

Trends for Readmission and Mortality After Heart Failure Hospitalisation in Malaysia, 2007 to 2016

Challenges and opportunities for increasing patient involvement in heart failure self-care programs and self-care in the post–hospital discharge period

Health Promotion and Self-Management Among Patients with Chronic Heart Failure

Contact Info

Product

Resources

About