Telephone Calls To Reduce 30-Day Readmissions For Older Adults With Heart Failure

2015 ◽  
Author(s):  
Juanette Clark
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Telephone Calls

Use of Diuretics in the Treatment of Heart Failure in Older Adults

2017 ◽  
Vol 13 (3) ◽  
pp. 503-512 ◽  
Author(s):  
Domenic A. Sica ◽  
Todd W.B. Gehr ◽  
William H. Frishman
Keyword(s):  
Heart Failure ◽  
Older Adults

scholarly journals Patterns of Comorbidity in Older Adults with Heart Failure: The Cardiovascular Research Network PRESERVE Study

2013 ◽  
Vol 61 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Jane S. Saczynski ◽  
Alan S. Go ◽  
David J. Magid ◽  
David H. Smith ◽  
David D. McManus ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Research Network ◽  
Cardiovascular Research

Exercise Intolerance in Older Adults With Heart Failure With Preserved Ejection Fraction

2021 ◽  
Vol 78 (11) ◽  
pp. 1166-1187
Author(s):  
Ambarish Pandey ◽  
Sanjiv J. Shah ◽  
Javed Butler ◽  
Dean L. Kellogg ◽  
Gregory D. Lewis ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Ejection Fraction ◽  
Exercise Intolerance ◽  
Preserved Ejection Fraction

scholarly journals Sex Differences in the Association between Atrial Fibrillation and 90-Day Adverse Outcomes among Older Adults with Heart Failure: A Retrospective Cohort Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2237
Author(s):  
Youn-Jung Son ◽  
Da-Young Kim ◽  
Mi Hwa Won
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Older Adults ◽  
Sex Differences ◽  
Older Adult ◽  
Hospital Readmission ◽  
Older Patients ◽  
Adverse Outcomes ◽  
Prognostic Impact ◽  
Male And Female

Sex differences in the prognostic impact of coexisting atrial fibrillation (AF) in older patients with heart failure (HF) have not been well-studied. This study, therefore, compared sex differences in the association between AF and its 90-day adverse outcomes (hospital readmissions and emergency room (ER) visits) among older adults with HF. Of the 250 older adult patients, the prevalence rates of coexisting AF between male and female HF patients were 46.0% and 31.0%, respectively. In both male and female older patients, patients with AF have a significantly higher readmission rate (male 46.0%, and female 34.3%) than those without AF (male 6.8%, and female 12.8%). However, there are no significant differences in the association between AF and ER visits in both male and female older HF patients. The multivariate logistic analysis showed that coexisting AF significantly increased the risk of 90-day hospital readmission in both male and female older patients. In addition, older age in males and longer periods of time after an HF diagnosis in females were associated with an increased risk of hospital readmission. Consequently, prospective cohort studies are needed to identify the impact of coexisting AF on short- and long-term outcomes in older adult HF patients by sex.

scholarly journals Impact of Pharmacy Student–Driven Postdischarge Telephone Calls on Heart Failure Hospital Readmission Rates: A Pilot Program

2018 ◽  
Vol 54 (2) ◽  
pp. 100-104 ◽  
Author(s):  
Roda Plakogiannis ◽  
Ana Mola ◽  
Shreya Sinha ◽  
Abraham Stefanidis ◽  
Hannah Oh ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Discharge ◽  
Hospital Readmission ◽  
Pharmacy Students ◽  
Pharmacy Student ◽  
Pilot Program ◽  
Readmission Rates ◽  
Phone Calls ◽  
Hospital Readmission Rates ◽  
Telephone Calls

Background: Heart failure (HF) hospitalization rates have remained high in the past 10 years. Numerous studies have shown significant improvement in HF readmission rates when pharmacists or pharmacy residents conduct postdischarge telephone calls. Objective: The purpose of this retrospective review of a pilot program was to evaluate the impact of pharmacy student–driven postdischarge phone calls on 30- and 90-day hospital readmission rates in patients recently discharged with HF. Methods: A retrospective manual chart review was conducted for all patients who received a telephone call from the pharmacy students. The primary endpoint compared historical readmissions, 30 and 90 days prior to hospital discharge, with 30 and 90 days post discharge readmissions. For the secondary endpoints, historical and postdischarge 30-day and 90-day readmission rates were compared for patients with a primary diagnosis of HF and for patients with a secondary diagnosis of HF. Descriptive statistics were calculated in the form of means and standard deviations for continuous variables and frequencies and percentages for categorical variables. Results: Statistically significant decrease was observed for both the 30-day ( P = .006) and 90-day ( P = .007) readmission periods. Prior to the pharmacy students’ phone calls, the overall group of 131 patients had historical readmission rates of 24.43% within 30 days and 38.17% within 90 days after hospital discharge. After the postdischarge phone calls, the readmission rates decreased to 11.45%, for 30 days, and 22.90%, for 90 days. Conclusion: Postdischarge phone calls, specifically made by pharmacy students, demonstrated a positive impact on reducing HF-associated hospital readmissions, adding to the growing body of evidence of different methods of pharmacy interventions and highlighting the clinical impact pharmacy students may have in transition of care services.

Frailty and Advanced Heart Failure in Older Adults

2017 ◽  
Vol 11 (5) ◽  
Author(s):  
Jennifer R. Riggs ◽  
Alex Reyentovich ◽  
Mathew S. Maurer ◽  
John A. Dodson
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Advanced Heart Failure

Modeling Personas for Older Adults with Heart Failure

2018 ◽  
Vol 62 (1) ◽  
pp. 1072-1076 ◽  
Author(s):  
Richard J. Holden ◽  
Pushkar Joshi ◽  
Kartik Rao ◽  
Anagha Varrier ◽  
Carly N. Daley ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Information Needs ◽  
Self Care ◽  
Chronically Ill ◽  
User Centered Design ◽  
Future Design ◽  
Patients With Heart Failure ◽  
Design Activities ◽  
Key Dimensions

In the early stages of the design process, designers often benefit from the use of personas, or archetypes of target users presented in a vivid way to highlight design-relevant characteristics. In the growing efforts to create health information technology (HIT) for older adults, empirically derived personas could help orchestrate more user-centered design activities. However, there is a lack of ready-to-use personas for older adult HIT users and more so for those designing in specific domains such as heart failure self-care. This paper presents personas of older adults derived from qualitative analysis of interviews with 24 older patients with heart failure. Analyses unearthed key dimensions distinguishing patients based on their dispositions towards the self-management of their chronic condition, including locus of control, relationship with the health/support system, information needs, and activities of self-care. Two personas are presented: Direction Follower and Researcher, with subtypes for the latter codified as Investigator and Explorer. Our work contributes to future design of systems including HIT to support chronically ill older adults.

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