Early readmission risk identification for hospitalized older adults with decompensated heart failure

Yousef Ayatollahi, Xibei Liu, Ali Namazi, Mohammad Jaradat, Takashi Yamashita, Jay J. Shen, Yongjae Lee, Soumya Upadhyay, Sun Jung Kim, Ji Won Yoo

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The current study evaluated risk factors of early hospital readmission in geriatric patients with acute heart failure (HF) and analyzed 2,279 consecutively hospitalized older adults with decompensated HF from November 2013 to October 2014 across 15 U.S. hospitals. The eTracker-HF was designed to make risk factors known to treating clinicians in electronic health records. Multilevel multivariate logistic regression was applied to examine the association between risk factors and all-cause and HF 30-day readmission rates. All-cause and HF 30-day readmission rates were 22.3% and 9.8%, respectively. Old age, non-White ethnicity, delirium, physical impairment, ejection fraction <40%, advanced chronic kidney disease, and previous myocardial infarction were associated with all-cause and HF readmission. Home health care use was inversely associated with early readmission. In addition to demographic and cardiovascular risk factors, geriatric syndromes were associated with early readmission. Discharge to home health care may reduce early readmission in these patients.

Original languageEnglish
Pages (from-to)190-197
Number of pages8
JournalResearch in Gerontological Nursing
Volume11
Issue number4
DOIs
Publication statusPublished - 2018 Jul 1

Fingerprint

Heart Failure
Patient Readmission
Home Care Services
Geriatrics
Delivery of Health Care
Delirium
Electronic Health Records
Chronic Renal Insufficiency
Logistic Models
Myocardial Infarction
Demography

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology

Cite this

Ayatollahi, Y., Liu, X., Namazi, A., Jaradat, M., Yamashita, T., Shen, J. J., ... Yoo, J. W. (2018). Early readmission risk identification for hospitalized older adults with decompensated heart failure. Research in Gerontological Nursing, 11(4), 190-197. https://doi.org/10.3928/19404921-20180322-01
Ayatollahi, Yousef ; Liu, Xibei ; Namazi, Ali ; Jaradat, Mohammad ; Yamashita, Takashi ; Shen, Jay J. ; Lee, Yongjae ; Upadhyay, Soumya ; Kim, Sun Jung ; Yoo, Ji Won. / Early readmission risk identification for hospitalized older adults with decompensated heart failure. In: Research in Gerontological Nursing. 2018 ; Vol. 11, No. 4. pp. 190-197.
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Ayatollahi, Y, Liu, X, Namazi, A, Jaradat, M, Yamashita, T, Shen, JJ, Lee, Y, Upadhyay, S, Kim, SJ & Yoo, JW 2018, 'Early readmission risk identification for hospitalized older adults with decompensated heart failure', Research in Gerontological Nursing, vol. 11, no. 4, pp. 190-197. https://doi.org/10.3928/19404921-20180322-01

Early readmission risk identification for hospitalized older adults with decompensated heart failure. / Ayatollahi, Yousef; Liu, Xibei; Namazi, Ali; Jaradat, Mohammad; Yamashita, Takashi; Shen, Jay J.; Lee, Yongjae; Upadhyay, Soumya; Kim, Sun Jung; Yoo, Ji Won.

In: Research in Gerontological Nursing, Vol. 11, No. 4, 01.07.2018, p. 190-197.

Research output: Contribution to journalArticle

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