Evidence map›Paper›PMID 28574972›Full record

ArticleThe Journal of cardiovascular nursing

Heart Failure Rehospitalization and Delayed Decision Making: The Impact of Self-care and Depression.

Jiayun Xu, Joseph J Gallo, Jennifer Wenzel, Marie T Nolan, Chakra Budhathoki, Martha Abshire, Kelsey Bower, Sofia Arruda, Deirdre Flowers, Sarah L Szanton and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Association of psychological distress with reasons for delay in seeking medical care in rural patients with worsening heart failure symptoms.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
  11. Article
  12. Article
  13. Self-care research: Where are we now? Where are we going?International journal of nursing studies · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jiayun XuJiayun Xu, PhD, RN Post-doctoral Fellow, College of Nursing, University of Utah, Salt Lake City. Joseph J. Gallo, MD, MPH Professor, School of Public Health Johns Hopkins University, Baltimore, Maryland. Jennifer Wenzel, PhD, RN, CCM, FAAN Associate Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Marie T. Nolan, PhD, MPH, RN, FAAN Executive Vice Dean and Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Chakra Budhathoki, PhD Assistant Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Martha Abshire, PhD, MSN, RN Assistant Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Kelsey Bower, BS PhD Student, Case Western University, Cleveland, Ohio. Sofia Arruda, BA Masters of Art Business Student, Sotheby's Institute of Art, New York, New York. Deirdre Flowers, RN, MSN/MPH Heart Failure Nurse Case Manager, Johns Hopkins Hospital, Baltimore, Maryland. Sarah L. Szanton, PhD, ANP, FAAN Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Cheryl Dennison Himmelfarb, PhD, RN, ANP, FAAN Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland. Kaylin Gonzalez, MHS, BA Research Coordinator, School of Medicine, Johns Hopkins University, Baltimore, Maryland. Hae-Ra Han, PhD, RN, FAAN Professor, School of Nursing, Johns Hopkins University, Baltimore, Maryland.
Joseph J Gallo
Jennifer Wenzel
Marie T Nolan
Chakra Budhathoki
Martha Abshire
Kelsey Bower
Sofia Arruda
Deirdre Flowers
Sarah L Szanton
Cheryl Dennison Himmelfarb
Kaylin Gonzalez
Hae-Ra Han

Funding

Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
Training in Health Disparities of Underserved PopulationT32NR007968 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2002 to 2011
$2.0M
Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
HF Patient Decision Making Prior to RehospitalizationF31NR014750 · NINR · JOHNS HOPKINS UNIVERSITY · PI XU, JIAYUN · 2013 to 2015
$80k
NINR NIH HHS F31 NR014750NINR NIH HHS T32 NR007968NINR NIH HHS T32 NR012704NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

backgroundRehospitalization soon after discharge can be distressing for persons with heart failure (HF) and places a heavy burden on the healthcare system.

objectiveWe investigated and explored the association of self-care decision making variables with (1) rehospitalization within 30 days of discharge and (2) delay in seeking medical assistance (delayed decision making).

methodsA cross-sectional, explanatory sequential mixed methods design (quan > qual) was used to survey 127 hospitalized HF patients and interview 15 of these participants to explain their survey responses. The survey assessed rehospitalization within 30 days of discharge, delayed decision making, HF self-care, and psychosocial factors influencing self-care.

resultsThe likelihood of delaying the decision to be hospitalized was more than 5 times higher among those with high depressive symptoms (odds ratio, 5.33; 95% confidence interval, 2.14-13.28). Those who delayed going to the hospital were uncertain about their prognosis and did not feel their symptoms were urgent. The likelihood of being rehospitalized within 30 days was more than doubled among those with high depressive symptoms (OR, 2.31; 95% confidence interval, 1.01-5.31). Those who were rehospitalized within 30 days were less likely to consult healthcare professionals in their decision making and wanted immediate relief from their symptoms.

conclusionsWe recommend a patient-centered approach to help HF patients identify and adequately self-manage symptoms. The strong association between high depressive symptoms and rehospitalization within 30 days as well as delayed decision making highlights the critical need for clinicians to carefully assess and address depression among HF patients.

Indexed as

Decision MakingPatient Acceptance of Health CarePatient ReadmissionSelf CareAdultAgedAged, 80 and overCross-Sectional StudiesDepressionFemaleHeart FailureHumansMaleMiddle AgedSocioeconomic FactorsTime Factors

Identifiers

PMID28574972
PMCPMC5711640

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.