Scoping review: Hospital nursing factors associated with 30-day readmission rates of patients with heart failure

2018 ◽  
Vol 27 (7-8) ◽  
pp. e1673-e1683
Author(s):  
Jin Jun ◽  
Kenneth M. Faulkner
Keyword(s):  
Heart Failure ◽  
Scoping Review ◽  
Readmission Rates ◽  
Factors Associated ◽  
Hospital Nursing ◽  
Patients With Heart Failure ◽  
Nursing Factors

Abstract 11906: Heart Failure Admissions to General Medicine Services are Associated With Increased 30-day Readmission Rate

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Parag Goyal ◽  
Madeline Sterling ◽  
Ashley N Beecy ◽  
Savira Kochhar ◽  
John T Ruffino ◽  
...  
Keyword(s):  
Heart Failure ◽  
Readmission Rate ◽  
General Medicine ◽  
Structural Heart Disease ◽  
Multivariate Regression Analysis ◽  
Readmission Rates ◽  
Modifiable Factors ◽  
Patients With Heart Failure ◽  
Hospital Patients ◽  
Clinical Indices

Introduction: Hospitalists are increasingly caring for patients with heart failure (HF) at a time when there is need to identify modifiable factors associated with 30-day readmission rates. Hypothesis: Patients admitted to General Medicine services (GM) will have higher 30-day readmission rates than those admitted to Cardiology services. Methods: This retrospective cohort comprised patients with a principal diagnosis of HF discharged from GM or Cardiology services in 2013-2014 at an urban academic hospital. Patients discharged with hospice were excluded. Index hospitalizations and 30-day readmissions were identified via query of the electronic medical records. Demographics, clinical indices, and hospitalization characteristics were collected by chart review. Results: Among 926 patients admitted with HF, 40% were admitted to GM and 60% were admitted to a Cardiology service. Patients on GM were slightly older, more likely female, and more likely to have Medicare (Table). They also had higher LVEF, less RV dysfunction, and less ventricular tachycardia (VT). Rates of non-cardiac comorbidities were comparable between groups. Patients on GM experienced a 1.4-fold increased 30-day readmission rate compared to those on Cardiology services (32% vs. 23%, p=0.023). Multivariate regression analysis showed that admission to GM remained a predictor for 30-day readmission (OR 1.37, [1.01 to 1.87], p=0.048) after controlling for key differences between groups including age, sex, insurance, LVEF, RV dysfunction, VT, and admission blood pressure and hemoglobin. Conclusions: HF patients admitted to General Medicine have less structural heart disease, and yet have a higher rate of 30-day readmission compared to those admitted to Cardiology services. This underscores the importance of ensuring that hospitalists obtain adequate heart failure training (related to both inpatient care and optimization of discharge regimens), so as to avoid un-necessary readmissions.

scholarly journals Factors Associated with Inspiratory Muscle Strength in Patients with Heart Failure

2019 ◽  
Vol 20 (-1) ◽  
pp. 418-418
Author(s):  
Aylin Tanriverdi ◽  
◽  
Buse Ozcan Kahraman ◽  
Serap Acar ◽  
Ismail Ozsoy ◽  
...  
Keyword(s):  
Heart Failure ◽  
Muscle Strength ◽  
Inspiratory Muscle ◽  
Factors Associated ◽  
Patients With Heart Failure ◽  
Inspiratory Muscle Strength

Abstract P096: Effectiveness of a Comprehensive Care Delivery System on Readmission Rates and Self-Care in Older Adult Patients with Heart Failure

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Linda L Tavares
Keyword(s):  
Heart Failure ◽  
Older Adult ◽  
Delivery System ◽  
Care Delivery ◽  
Self Care ◽  
Comprehensive Care ◽  
Remote Patient Monitoring ◽  
Readmission Rates ◽  
Patients With Heart Failure ◽  
Remote Patient

Background: Telemedicine interventions to prevent readmissions in patients with heart failure (HF) have shown inconsistent results in their effectiveness on HF-related and all-cause rehospitalization. Team-based interventions geared toward patient-centric care delivery in concert with comprehensive care coordination that enhances patient self-care may help to prevent unplanned hospitalizations in patients with HF. Objective: To evaluate the outcomes of a comprehensive care delivery system using a team-based high-touch coaching and remote patient monitoring intervention designed for older adult patients with heart failure in a community hospital setting. Design: A descriptive cross-sectional observational design was used to measure readmission rates. A one-group pretest-posttest design using the Self-care of Heart Failure Index was used to measure self-care outcomes. Correlation analysis was performed to determine relationships between the coaching and outcomes. Patients: Participants were older adult patient hospitalized with heart failure and followed for 30-days. Patients were excluded if they were unwilling to participate, non- English speaking, had end-stage renal disease, a terminal illness, debilitating neuro-psychological disorder, or lived greater than 30 miles away. Results: The 30-patients were primarily Caucasian, female with a mean age of 77.5 years. The majority of patients had medically optimized NYHA class II or III HF with an ejection fraction ≤ 40%. HF readmission rate was zero, and 6% for all cause. Patient self-care scores improved (p < .0001). Team based coaching was correlated with improvement in self-care maintenance scores (p =.009). Conclusion: A comprehensive care delivery system leveraging remote patient monitoring and health coaching significantly reduced 30-day readmission and enhanced patient self-care management. Implications: Patient centric team based care models leveraging technology should continue to be developed and implemented to transform care delivery for older adults with HF. Table 1. Change in Mean Self-Care of Heart Failure Index Scores p < .0001 p < .0001 p < .0001

Relation between process measures and diagnosis-specific readmission rates in patients with heart failure

Heart ◽  
2015 ◽  
Vol 101 (21) ◽  
pp. 1704-1710 ◽  
Author(s):  
Alex Bottle ◽  
Rosalind Goudie ◽  
Martin R Cowie ◽  
Derek Bell ◽  
Paul Aylin
Keyword(s):  
Heart Failure ◽  
Readmission Rates ◽  
Process Measures ◽  
Patients With Heart Failure

Factors associated with quality of life in Arab patients with heart failure

2016 ◽  
Vol 31 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Fawwaz Alaloul ◽  
Mohannad E. AbuRuz ◽  
Debra K. Moser ◽  
Lynne A. Hall ◽  
Ahmad Al-Sadi
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Factors Associated ◽  
Patients With Heart Failure

Risk Factors Associated With Peripheral Neuropathy in Heart Failure Patients Candidates for Transplantation

2018 ◽  
Vol 28 (1) ◽  
pp. 36-42 ◽  
Author(s):  
Chiara Minà ◽  
Sergio Bagnato ◽  
Antonino Sant’Angelo ◽  
Calogero Falletta ◽  
Gabriele Di Gesaro ◽  
...  
Keyword(s):  
Heart Failure ◽  
Peripheral Neuropathy ◽  
Heart Transplantation ◽  
Clinical History ◽  
Cardiac Care ◽  
Factors Associated ◽  
Needle Electromyography ◽  
Patients With Heart Failure ◽  
Rehabilitation Strategy

Introduction: Peripheral neuropathy can affect patients with heart failure, though its prevalence is unknown. After heart transplantation, it can influence the postoperative course and quality of life, but screening for neuromuscular disease is not routinely performed. Objective: The aim of this study was to identify the factors associated with neuropathy in a population of patients with heart failure who are candidates for heart transplantation. Study Design: Data regarding patients’ clinical history, including recent hospitalizations, were collected. All patients underwent a complete neurological examination and a neurophysiological protocol including nerve conduction studies and concentric needle electromyography. Results: Thirty-two patients were included in the study, and neuropathy was diagnosed in 10 (31.3%). Neuropathy was associated with the number of admissions ( P = .023; odds ratio [OR]: 1.96) and the total number of days of hospitalization in the year prior to inclusion in the study ( P = .010; OR: 1.03). The majority of hospitalizations occurred in the step-down unit (85%), with acute heart failure the leading cause of admission (42%). Conclusions: This study shows that neuropathy is frequent in patients with advanced heart failure and that hospitalization for cardiac care, also in the absence of intensive care, is a marker of high risk of neurologic damage. These data can help physicians in selecting and managing candidates for transplantation and can guide decisions on the best immunosuppressive regimen or rehabilitation strategy.

scholarly journals Prevalence and factors associated with anemia in patients with heart failure in Sub-saharan Africa, Cameroon

2020 ◽  
Vol 12 (1) ◽  
pp. 51-52
Author(s):  
C. Nganou-Gnindjio ◽  
C.A. Pieme ◽  
C. Dongmo Nanfack-Géondo ◽  
D.L. Wouna Angong ◽  
B. Hamadou ◽  
...  
Keyword(s):  
Heart Failure ◽  
Sub Saharan Africa ◽  
Factors Associated ◽  
Patients With Heart Failure ◽  
Sub Saharan

scholarly journals A Systematic Review and Meta-analysis of Studies Comparing Readmission Rates and Mortality Rates in Patients With Heart Failure

2004 ◽  
Vol 164 (21) ◽  
pp. 2315 ◽  
Author(s):  
Femida H. Gwadry-Sridhar ◽  
Virginia Flintoft ◽  
Douglas S. Lee ◽  
Hui Lee ◽  
Gordon H. Guyatt
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Meta Analysis ◽  
Mortality Rates ◽  
Readmission Rates ◽  
Patients With Heart Failure
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