ArticleMedical care2020
The Association Between Patient-reported Clinical Factors and 30-day Acute Care Utilization in Chronic Heart Failure.
Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 30 citations in OpenAlex.
- Evaluating the potential of the outcome-oriented nursing assessment for acute care (ePA-AC) to identify cardiovascular patients at risk for unplanned 30- and 180-day all-cause readmission: Development and validation of a routine data-based model.American heart journal plus : cardiology research and practice · 2025Article
- Sex differences in the impact of frailty on patients with heart failure: A retrospective cohort study.ESC heart failure · 2024Article
- Pain and Heart Failure During Transport by Emergency Medical Services and Its Associated Outcomes: Hospitalization, Mortality, and Length of Stay.Western journal of nursing research · 2024Article
- Predicting short-term outcomes after transcatheter aortic valve replacement for aortic stenosis.American heart journal · 2023Article
- Association of Function, Symptoms, and Social Support Reported in Standardized Outpatient Clinic Questionnaires With Subsequent Hospital Discharge Disposition and 30-Day Readmissions.Archives of physical medicine and rehabilitation · 2022Article
- The clinical effect of WeChat-based MUST education model on patients with chronic heart failure.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2022Article
- Facilitators and barriers to post-discharge pain assessment and triage: a qualitative study of nurses' and patients' perspectives.BMC health services research · 2021Article
- Non-specific pain and 30-day readmission in acute coronary syndromes: findings from the TRACE-CORE prospective cohort.BMC cardiovascular disorders · 2021Article
- Sex Differences in the Association between Atrial Fibrillation and 90-Day Adverse Outcomes among Older Adults with Heart Failure: A Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
- Role of a Brief Intensive Observation Area with a Dedicated Team of Doctors in the Management of Acute Heart Failure Patients: A Retrospective Observational Study.Medicina (Kaunas, Lithuania) · 2020Observational
- Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure.The Journal of cardiovascular nursingArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHeart failure patients have high rates of repeat acute care use. Current efforts for risk prediction often ignore postdischarge data.
objectiveTo identify postdischarge patient-reported clinical factors associated with repeat acute care use. RESEARCH
designIn a prospective cohort study that followed patients with chronic heart failure for 30 days postdischarge, for 7 days after discharge (or fewer days if patients used acute care within 7 days postdischarge), patients reported health status, heart failure symptoms, medication management, knowledge of follow-up plans, and other issues using a daily interactive automatic phone call. SUBJECTS: A total of 156 patients who had responded to phone surveys. MEASURES: The outcome variable was dichotomous 30-day acute care use (rehospitalization or emergency department visit). We examined the association between each patient-reported issue and the outcome, using multivariable logistic regression to adjust for confounders.
resultsPatients were 63 years old (SD=12.4), with 51% African-American and 53% women. Within 30 days postdischarge, 30 (19%) patients used acute care. After adjustment, poor health status [odds ratio (OR)=3.53; 95% confidence interval (CI), 1.06-11.76], pain (OR=2.44; 95% CI, 1.02-5.84), and poor appetite (OR=3.05; 95% CI, 1.13-8.23) were positively associated with 30-day acute care utilization. Among 58 reports of pain in follow-up nursing notes, 39 (67%) were noncardiac, 2 (3%) were cardiac, and 17 (29%) were indeterminate.
conclusionsPatient-reported poor health status, pain, and poor appetite were positively associated with 30-day acute care utilization. These novel postdischarge markers require further study before incorporation into risk prediction to drive quality improvement efforts.
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