Early Readmission Risk Identification for Hospitalized Older Adults With Decompensated Heart Failure
Document Type
Article
Publication Date
4-11-2018
Publication Title
Research in Gerontological Nursing
Volume
11
Issue
4
First page number:
190
Last page number:
197
Abstract
The current study evaluated risk factors of early hospital readmission in geriatric patients with acute heart failure (HF) and analyzed 2,279 consecutively hospitalized older adults with decompensated HF from November 2013 to October 2014 across 15 U.S. hospitals. The eTracker-HF was designed to make risk factors known to treating clinicians in electronic health records. Multilevel multivariate logistic regression was applied to examine the association between risk factors and all-cause and HF 30-day readmission rates. All-cause and HF 30-day readmission rates were 22.3% and 9.8%, respectively. Old age, non-White ethnicity, delirium, physical impairment, ejection fraction <40%, advanced chronic kidney disease, and previous myocardial infarction were associated with all-cause and HF readmission. Home health care use was inversely associated with early readmission. In addition to demographic and cardiovascular risk factors, geriatric syndromes were associated with early readmission. Discharge to home health care may reduce early readmission in these patients.
Disciplines
Gerontology | Nursing
Language
English
Repository Citation
Ayatollahi, Y.,
Liu, X.,
Namazi, A.,
Jaradat, M.,
Yamashita, T.,
Shen, J. J.,
Lee, Y.,
Upadhyay, S.,
Kim, S.,
Yoo, J. W.
(2018).
Early Readmission Risk Identification for Hospitalized Older Adults With Decompensated Heart Failure.
Research in Gerontological Nursing, 11(4),
190-197.
http://dx.doi.org/10.3928/19404921-20180322-01