Heart Failure Rehospitalization of the Medicare FFS Patient

Schmeida, Mary; Savrin, Ronald A.

doi:10.1097/ncm.0b013e31824c5fca

Cited by 11 publications

(3 citation statements)

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“…In this literature review, three studies were found that examined the factors that affect readmission rates (Schmeida & Savrin, 2012; Sona et al, 2012) which have been reported as a high level of morbidity, a low level of independent functioning, and multiple medication use (Sona et al, 2012). Surprisingly, living alone, cognitive limitations, immobilization, and lack of social support have not been associated with hospital readmission (Sona et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Surprisingly, living alone, cognitive limitations, immobilization, and lack of social support have not been associated with hospital readmission (Sona et al, 2012). At the state level, Schmeida and Savrin (2012) analyzed state-level data of Medicare patients in 50 states to explore the factors that predict high readmission rate among HF patients. According to the results, these factors are more total days of care per 1,000 Medicare enrollees, high median income, and high percentage of drug coverage.…”

Section: Resultsmentioning

confidence: 99%

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Self-Care Among Older Adults With Heart Failure

Attaallah

Klymko²,

Hopp

2016

Gerontology and Geriatric Medicine

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Background: It is estimated that 5.7 million Americans are living with heart failure (HF) today. Despite the fact that HF is one of the most common reasons people aged 65 years and older are admitted into the hospital, few studies describe the self-care in this older adult population. Purpose: The purpose of the study was to review the current literature on self-care in this population to better understand the influence of selected factors on self-care and health outcomes. Methods: A literature search was completed and resulted in including 28 studies. Results: Multiple factors have been reported as barriers to self-care including depression and presence of peripheral arterial disease. Factors having a positive effect on self-care are male gender, number of cardiologist referrals, and self-efficacy. There were few studies that described the association between cognitive functioning and self-care. There is a lack of strong evidence to support the association between self-care and health outcomes such as readmission rate, but recent studies suggest that a 30-day readmission is not a valid predictor of health outcomes. Implications: The assessment of the psychological factors and health care resource utilization patterns that may influence self-care is recommended. More research that addresses the role of cognitive factors in influencing self-care is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Self-Care Among Older Adults With Heart Failure

Attaallah

Klymko²,

Hopp

2016

Gerontology and Geriatric Medicine

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“…To develop an effective readmission reduction program, it is critical to have full understanding of the risk factors for readmission in the HF population. Therefore, we examined the characteristics of hospitalized HF patients using Nebraska HCUP data, which provides a census database of all inpatient admissions in the state and, thus, permits a population-based perspective on HF patient care needs [17,19,20]. Our study is descriptive rather than predictive, by associating a large set of patient, clinical, and administrative factors to HF patient readmission outcomes.…”

Section: Introductionmentioning

confidence: 99%

Examining Characteristics of Hospitalizations in Heart Failure Patients: Results from the 2009 All-payer Data

et al. 2016

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Heart failure (HF) is one of the most common chronic and disabling illnesses, resulting in high morbidity and mortality. Readmission rate, one key indicator of healthcare quality and healthcare utilization, is prevalent in HF patients. Inconsistent evidences exist about the impact of rural health disparities on HF patients’ readmissions. The purpose of this explorative study was to examine the characteristics of hospitalized HF patients and factors related to readmissions in 2009. The results showed all-cause readmission rates were 13.6%, 23.6%, and 31.6% at 30-, 90- and 180-days respectively. The factors related readmissions included age, income, discharge/transfer status from index hospitalization, and comorbidity. Findings from this analysis suggested additional studies using multiple data sources are needed to have a comprehensive understanding of risk factors related HF patients’ healthcare utilization.

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