Mark W Ketterer1, Cathy Draus2, James McCord2, Usamah Mossallam2, Michael Hudson2. 1. HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI. Electronic address: markwketterer@cs.com. 2. HFH Hospital Administration, Henry Ford Hospital, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
Abstract
BACKGROUND: Wasted health care resources have become a central concern in American health care. Heart failure has one of the highest readmission rates amongst all conditions studied in Medicare/Medicaid populations. OBJECTIVE: The present study was an attempt to cross-sectionally identify correlates of number of past-year admissions and 30-day readmissions in patients with congestive heart failure. METHODS: Eighty-four patients with congestive heart failure were recruited during hospitalization and underwent a semistructured interview for basic clinical/demographic information and completed several questionnaires measuring depression, anxiety, and spirituality. RESULTS: Depression, history of substance abuse, and history of coronary artery disease displayed borderline results as correlates of past-year admissions. Immediate memory and psychiatric history (positive Patient Health Questionnaire 9, acknowledged history of treatment, and use of an antidepressant per chart) were associated with 30-day readmission rates. Indices of congestive heart failure severity (ejection fraction and last recorded B-type natriuretic peptide level) were not. CONCLUSIONS: Present results suggest that both a psychiatric history and cognitive impairment are possible determinants of early readmission.
BACKGROUND: Wasted health care resources have become a central concern in American health care. Heart failure has one of the highest readmission rates amongst all conditions studied in Medicare/Medicaid populations. OBJECTIVE: The present study was an attempt to cross-sectionally identify correlates of number of past-year admissions and 30-day readmissions in patients with congestive heart failure. METHODS: Eighty-four patients with congestive heart failure were recruited during hospitalization and underwent a semistructured interview for basic clinical/demographic information and completed several questionnaires measuring depression, anxiety, and spirituality. RESULTS:Depression, history of substance abuse, and history of coronary artery disease displayed borderline results as correlates of past-year admissions. Immediate memory and psychiatric history (positive Patient Health Questionnaire 9, acknowledged history of treatment, and use of an antidepressant per chart) were associated with 30-day readmission rates. Indices of congestive heart failure severity (ejection fraction and last recorded B-type natriuretic peptide level) were not. CONCLUSIONS: Present results suggest that both a psychiatric history and cognitive impairment are possible determinants of early readmission.
Authors: Brian K Ahmedani; Leif I Solberg; Laurel A Copeland; Ying Fang-Hollingsworth; Christine Stewart; Jianhui Hu; David R Nerenz; L Keoki Williams; Andrea E Cassidy-Bushrow; Jeanette Waxmonsky; Christine Y Lu; Beth E Waitzfelder; Ashli A Owen-Smith; Karen J Coleman; Frances L Lynch; Ameena T Ahmed; Arne Beck; Rebecca C Rossom; Gregory E Simon Journal: Psychiatr Serv Date: 2014-11-01 Impact factor: 3.084
Authors: Kathryn H Bowles; Jesse Chittams; Eric Heil; Maxim Topaz; Kathy Rickard; Mrinal Bhasker; Matt Tanzer; Maryam Behta; Alexandra L Hanlon Journal: Res Nurs Health Date: 2015-01-25 Impact factor: 2.228
Authors: Robert W Smith; Kerry Kuluski; Andrew P Costa; Samir K Sinha; Richard H Glazier; Alan Forster; Lianne Jeffs Journal: BMJ Open Date: 2017-12-12 Impact factor: 2.692
Authors: Matthew E Dupre; Alicia Nelson; Scott M Lynch; Bradi B Granger; Hanzhang Xu; Janese M Willis; Lesley H Curtis; Eric D Peterson Journal: JMIR Res Protoc Date: 2017-06-15
Authors: Christopher Park; Emamuzo Otobo; Jennifer Ullman; Jason Rogers; Farah Fasihuddin; Shashank Garg; Sarthak Kakkar; Marni Goldstein; Sai Vishudhi Chandrasekhar; Sean Pinney; Ashish Atreja Journal: JMIR Med Inform Date: 2019-11-15
Authors: Elsemieke A I M Meurs; Carl E H Siegert; Elien Uitvlugt; Najla El Morabet; Ruth J Stoffels; Dirk W Schölvinck; Laura F Taverne; Pim B J E Hulshof; Hilde J S Ten Horn; Philou C W Noordman; Josien van Es; Nicky van der Heijde; Meike H van der Ree; Maurice A A J van den Bosch; Fatma Karapinar-Çarkit Journal: Sci Rep Date: 2021-10-11 Impact factor: 4.379