Evidence map›Paper›PMID 38915135›Full record

ArticleThe Journal of cardiovascular nursing

Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure.

Asa B Smith, Miyeon Jung, Daniel O'Donnell, Fletcher A White, Susan J Pressler

Abstract read
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. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Miyeon Jung
Daniel O'Donnell
Fletcher A White
Susan J Pressler

Funding

Advanced Training in Self-Management Interventions for Serious Chronic ConditionsT32NR018407 · NINR · INDIANA UNIVERSITY INDIANAPOLIS · PI KNOPF, AMELIA S, MILLER, WENDY RENEE · 2019 to 2023
$1.8M
Virtual Reality and Computerized Cognitive Intervention for Mild Cognitive Impairment in Heart FailureK76AG074940 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI Miyeon Jung · 2022 to 2026
$1.2M
NIA NIH HHS K76 AG074940NINR NIH HHS T32 NR018407
6 · The paper itself

Abstract

backgroundPain is common among patients with heart failure but has not been examined with short-term discharge outcomes. The purpose was to examine whether pain at discharge predicts return to community status and 90-day mortality among hospitalized patients with heart failure.

methodsData from medical records of 2169 patients hospitalized with heart failure were analyzed in this retrospective cohort study. The independent variable was a diagnosis of pain at discharge. Outcomes were return to community status (yes/no) and 90-day mortality. Logistic regression was used to address aims. Covariates included age, gender, race, vital signs, comorbid symptoms, comorbid conditions, cardiac devices, and length of stay.

resultsThe sample had a mean age of 66.53 years, and was 57.4% women and 55.9% Black. Of 2169 patients, 1601 (73.8%) returned to community, and 117 (5.4%) died at or before 90 days. Patients with pain returned to community less frequently (69.6%) compared with patients without pain (75.2%), which was a statistically significant relationship (odds ratio, 0.74; 95% confidence interval, 0.57-0.97; P = .028). Other variables that predicted return to community status included age, comorbid conditions, dyspnea, fatigue, systolic blood pressure, and length of stay. Pain did not predict increased 90-day mortality. Variables that predicted mortality included age, liver disease, and systolic blood pressure.

conclusionPatients with pain were less likely to return to community but did not have higher 90-day mortality. Pain in combination with other symptoms and comorbid conditions may play a role in mortality if acute pain versus chronic pain can be stratified in a future study.

Indexed as

Heart FailureAgedAged, 80 and overCohort StudiesFemaleHospitalizationHumansIndependent LivingMaleMiddle AgedPainPatient DischargeRetrospective Studies

Identifiers

PMID38915135
PMCPMC11611697

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