Predictors or Hospital Readmission Among the Elderly With Congestive Heart Failure

Hoskins, Lois M.; Walton-Moss, Benita; Clark, Helene M.; Schroeder, Mary Ann; Thiel, Linda

doi:10.1097/00004045-199906000-00007

Cited by 45 publications

(33 citation statements)

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“…The results reported here support the ®rst hypothesis. These study ®ndings are consistent with other research identifying the effect of social networks and support on hospital re-admission (Gordon and Rosenthal, 1995;Chin and Goldman, 1997;Happ et al, 1997;Grant et al, 1999;Hoskins et al, 1999;Mercer et al, 1999). The second hypothesis, however, was not supported by the results.…”

Section: Discussionsupporting

confidence: 82%

“…Several studies of patients with congestive heart failure (CHF) show the importance of support provided by social networks on both recovery and hospital re-admission. For example, social support and clinical factors in CHF patients were signi®cantly related to adherence behaviors, hospital re-admission and/or death (Chin and Goldman, 1997;Happ et al, 1997;Grant et al, 1999;Hoskins et al, 1999). In yet another study (Gordon and Rosenthal, 1995), marital status was related to risk of nursing home discharge, in-hospital death, hospital costs and length of stay.…”

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Mistry

Rosansky

McGuire³

et al. 2001

Int J Geriat Psychiatry

106

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 96%

Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Mistry

Rosansky

McGuire³

et al. 2001

Int J Geriat Psychiatry

106

View full text Add to dashboard Cite

show abstract

“…This finding is similar to hospitalization rates reported previously (Hoskins, Walton-Moss, Clark, Schroeder, & Thiel, 1999;Madigan, Schott, & Matthews, 2001). Several studies found that patients were hospitalized because of an exacerbation of their primary diagnosis or the development of a new problem (Anderson et al, 1999;Madigan et al, 2001).…”

Section: Figure 1 Path Model With Beta Weights Showing Significant DIsupporting

confidence: 90%

“…Vanderboom,Madigan / Rurality,Home Health Care Use 375 Home Health Care Service Use Visits per patient were positively associated with hospitalization of home health care patients across all geographic groups. Prior studies about the relationship of home health care utilization and hospitalization have been inconclusive, with some studies indicating increased visits associated with decreased hospitalization (Dennis, Blue, Stahl, Benge, & Shaw, 1996;Hoskins et al, 1999;Martens, 2000;Martens & Mellor, 1997). In contrast, Fortinsky and Madigan (1997) identified an increased level of intensity of home health care visits in patients prior to their hospitalization.…”

Section: Community Characteristicsmentioning

confidence: 99%

Relationships of Rurality, Home Health Care Use, and Outcomes

Vanderboom

Madigan

2008

West J Nurs Res

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Rural elders have a disproportionate prevalence of illness and limited access to health services. The purpose of this study is to determine whether degree of rurality and home health care use influences home health care patient outcomes. An adaptation of the Outcomes Model for Health Care Research provided the framework for the study. A stratified random sample was selected from a database of risk-adjusted publicly reported patient outcomes from Medicare-certified home health care agencies and merged with agency factors from Medicare cost reports and U.S. Census data. Path analysis was performed to evaluate the relationships in the model. Hospitalization is the only outcome variable associated with community and agency characteristics or home health care use. Rurality does not have a direct effect on hospitalization; however, increased visits per patient and low-income community status are associated with increased hospitalization. Rurality may not have a direct effect on outcomes but instead acts through health care services.

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“…For certain conditions, hospitalization rates are higher, including 81% for congestive heart failure (CHF) patients, the most frequent cause of hospitalization (Happ et al, 1997). Others report slightly lower rates of hospitalization for CHF patients, from 27% to 48% (Hoskins et al, 1999;Proctor, Morrow-Howell, Li, & Dore, 2000). In one study, 53% of rehospitalizations of CHF patients were found to be possibly or probably preventable (Vinson, Rich, Sperry, Shah, & McNamara, 1990).…”

mentioning

confidence: 99%

From Hospital to Home and Back Again: A Study in Hospital Admissions and Deaths for Home Care Patients

Taft

Pierce

Gallo

2005

Home Health Care Management & Practice

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In this study, the authors examined causes of deaths or hospitalizations of adult home care patients during an 18-month period using a retrospective medical record audit. The site of the study was the home care program of a three-hospital system. Of 4,303 cases, 101 adult patients met study criteria of hospitalization or death. The death rate in the sample was 0.48%, and the hospitalization rate was 1.9%. Wound deterioration and falling accidents were principal causes for rehospitalizing patients. Increasing age and number of medications were significantly correlated with falls resulting in hospitalization. Patients who died were found to suffer from terminal illnesses and frailty, with care providers having little influence over outcomes. Opportunities to improve clinical care processes (e.g., discharge planning, patient status monitoring, signs and symptoms reporting, interdisciplinary communicating and coordinating) were also identified. The authors concluded that nearly 21% of hospitalizations were potentially preventable.

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Predictors or Hospital Readmission Among the Elderly With Congestive Heart Failure

Cited by 45 publications

References 0 publications

Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Social isolation predicts re‐hospitalization in a group of older American veterans enrolled in the UPBEAT Program

Relationships of Rurality, Home Health Care Use, and Outcomes

From Hospital to Home and Back Again: A Study in Hospital Admissions and Deaths for Home Care Patients

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