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Prevalence of anemia and its influence on hospital readmissions and emergency department visits in outpatients with heart failure.
- Source :
-
European Journal of Cardiovascular Nursing . Dec2017, Vol. 16 Issue 8, p687-695. 9p. - Publication Year :
- 2017
-
Abstract
- Background: Anemia is a frequent comorbidity in patients with heart failure. However, the incidence of anemia in patients with heart failure varies widely, and there is limited evidence on the association between anemia and rehospitalization and on the health consequences of anemia in patients with heart failure. Aims: We aimed to identify the prevalence of anemia and its influence on hospital readmissions and emergency department visits in outpatients with heart failure. Methods: This cross-sectional study included 284 patients with heart failure diagnosed at outpatient cardiology clinics at a tertiary care university hospital in Cheonan, South Korea. We obtained socio-demographic and clinical information, including frequency of readmissions and emergency department visits, using face-to-face interviews and medical record reviews. Results: The prevalence of anemia, defined based on World Health Organization guidelines, was 39.1% among patients with heart failure. Anemia was significantly more prevalent among patients with one or more re-admissions or emergency department visits compared with patients with no history of hospital re-admissions or emergency department visits (42.7% vs. 13.9% (p = 0.001) and 55.1% vs. 34% (p = 0.002) respectively). Anemia increased the risk of hospital readmission (odds ratio =8.04, 95% confidence interval, 2.19–29.54) and emergency department visit (odds ratio=2.37, 95% confidence interval, 1.22–4.60) in patients with heart failure. Conclusion: It is imperative that patients with heart failure presenting with anemia undergo appropriate nursing assessment and intervention. Future prospective studies targeting interventions to improve anemia are required to determine whether anemia influences readmission rates and emergency department visits. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ACADEMIC medical centers
*ANEMIA
*CHI-squared test
*CONFIDENCE intervals
*EMERGENCY medical services
*FISHER exact test
*CARDIAC patients
*HEART failure
*HOSPITAL emergency services
*OUTPATIENT services in hospitals
*INTERVIEWING
*RESEARCH methodology
*STATISTICAL hypothesis testing
*T-test (Statistics)
*LOGISTIC regression analysis
*STATISTICAL power analysis
*SOCIOECONOMIC factors
*CROSS-sectional method
*RETROSPECTIVE studies
*DISEASE exacerbation
*PATIENT readmissions
*DATA analysis software
*DESCRIPTIVE statistics
*ODDS ratio
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 16
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 126458836
- Full Text :
- https://doi.org/10.1177/1474515117710154