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Factors Associated With 7-Day Rehospitalization After Heart Failure Admission.
- Source :
-
The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2017 Jul/Aug; Vol. 32 (4), pp. 339-347. - Publication Year :
- 2017
-
Abstract
- Background: Rehospitalizations within 7 days after discharge may reflect the quality of hospital care.<br />Objective: We examined factors associated with 7-day readmissions after discharge for heart failure (HF).<br />Methods: Using a matched pair case-control design, we examined health records for sociodemographic, clinical, and health system factors for patients with a primary diagnosis of HF (ICD-10 I50) discharged alive from all acute care hospitals in Calgary, Alberta, from 2004 to 2012. Logistic regression was used to identify variables associated with 7-day all-cause readmission.<br />Results: We included 382 patients, or 191 in matched pairs, with 41% of readmissions due to HF. Frailty (adjusted odds ratio [aOR], 2.30; 95% confidence interval [CI], 1.41-3.76) and attending physician as specialist (aOR, 2.10; 95% CI, 1.32-3.42) were associated with increased likelihood of readmission. Reduced likelihood of readmission was associated with documented instructions for follow-up with a family physician within 1 week of discharge (aOR, 0.56; 95% CI, 0.36-0.88). All 3 factors were easily abstracted from all patient records, including frailty, which was defined as all 3 of age older than 75 years, 3 or more comorbid conditions, and requiring assistance with activities of daily living.<br />Conclusion: Very early readmission to hospital after HF admission is associated with 3 factors that may be easily identified in patient records.
- Subjects :
- Age Factors
Aged
Alberta
Female
Heart Failure psychology
Humans
Male
Middle Aged
Risk Factors
Severity of Illness Index
Continuity of Patient Care statistics & numerical data
Heart Failure rehabilitation
Patient Care Management statistics & numerical data
Patient Readmission statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1550-5049
- Volume :
- 32
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of cardiovascular nursing
- Publication Type :
- Academic Journal
- Accession number :
- 27203273
- Full Text :
- https://doi.org/10.1097/JCN.0000000000000347