Health literacy and mortality in patients with heart failure: A systematic review and meta-analysis

Xibei B. Liu; Yousef Ayatollahi; Takashi Yamashita; Mohamed Jaradat; Jay J. Shen; Sun Jung Kim; Yong Jae Lee; Jinwook Hwang; Hyeyoung Yeom; Soumya Upadhyay; Caroline Liu; Haneul Choi; Ji Won Yoo

doi:10.3928/19404921-20181018-01

Health literacy and mortality in patients with heart failure: A systematic review and meta-analysis

Xibei B. Liu, Yousef Ayatollahi, Takashi Yamashita, Mohamed Jaradat, Jay J. Shen, Sun Jung Kim, Yong Jae Lee, Jinwook Hwang, Hyeyoung Yeom, Soumya Upadhyay, Caroline Liu, Haneul Choi, Ji Won Yoo

Department of Family Medicine

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Heart failure (HF) remains the most common diagnosis of hospital admission among U.S. adults. Although diagnosis and treatment have improved, mortality rates have not changed, and mortality risk remains high after hospitalization. The current researchers examined how limited health literacy is associated with mortality risk in adults with recent hospitalization due to decompensated HF. Researchers conducted a systematic literature search, selecting three cohort and three intervention studies. The fixed-effect model was used. From the three cohort studies, 2,858 study participants were analyzed. Among participants, limited health literacy was associated with higher all-cause mortality (pooled odds ratio = 2.95; 95% confidence interval [2.34, 3.72]; p < 0.01; I ² = 47.38%). However, none of the intervention studies showed an association between limited health literacy and cardiac (or all-cause) mortality. Future research should focus on the efficiency and safety of telehealth-based medicine in patients with HF, particularly those with limited health literacy.

Original language	English
Pages (from-to)	99-108
Number of pages	10
Journal	Research in Gerontological Nursing
Volume	12
Issue number	2
DOIs	https://doi.org/10.3928/19404921-20181018-01
Publication status	Published - 2019 Mar 1

Bibliographical note

Funding Information:
The authors have disclosed no potential conflicts of interest,financial or otherwise.Dr.Yoo is supported by the faculty career development award from University of Nevada School of Medicine,Las Vegas,Nevada,and Dr.Kim is supported by Soonchunhyang University,Asan,Korea. Address correspondence to Ji Won Yoo, MD, MS, Assistant Professor, Department of Internal Medicine, University of Nevada Las Vegas School of Medicine, 1701 West Charleston Boulevard, #230, Las Vegas, NV 89102; e-mail: ji.yoo@unlv.edu. Received: April 4,2018; Accepted: August 17,2018 doi:10.3928/19404921-20181018-01

Funding Information:
The authors have disclosed no potential conflicts of interest, financial or otherwise. Dr. Yoo is supported by the faculty career development award from University of Nevada School of Medicine, Las Vegas, Nevada, and Dr. Kim is supported by Soonchunhyang University, Asan, Korea.

Publisher Copyright:
© SLACK Incorporated.

All Science Journal Classification (ASJC) codes

Nursing(all)
Gerontology
Health Policy
Geriatrics and Gerontology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3928/19404921-20181018-01

Cite this

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title = "Health literacy and mortality in patients with heart failure: A systematic review and meta-analysis",

abstract = " Heart failure (HF) remains the most common diagnosis of hospital admission among U.S. adults. Although diagnosis and treatment have improved, mortality rates have not changed, and mortality risk remains high after hospitalization. The current researchers examined how limited health literacy is associated with mortality risk in adults with recent hospitalization due to decompensated HF. Researchers conducted a systematic literature search, selecting three cohort and three intervention studies. The fixed-effect model was used. From the three cohort studies, 2,858 study participants were analyzed. Among participants, limited health literacy was associated with higher all-cause mortality (pooled odds ratio = 2.95; 95% confidence interval [2.34, 3.72]; p < 0.01; I 2 = 47.38%). However, none of the intervention studies showed an association between limited health literacy and cardiac (or all-cause) mortality. Future research should focus on the efficiency and safety of telehealth-based medicine in patients with HF, particularly those with limited health literacy.",

author = "Liu, {Xibei B.} and Yousef Ayatollahi and Takashi Yamashita and Mohamed Jaradat and Shen, {Jay J.} and Kim, {Sun Jung} and Lee, {Yong Jae} and Jinwook Hwang and Hyeyoung Yeom and Soumya Upadhyay and Caroline Liu and Haneul Choi and Yoo, {Ji Won}",

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doi = "10.3928/19404921-20181018-01",

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AU - Jaradat, Mohamed

AU - Shen, Jay J.

AU - Kim, Sun Jung

AU - Lee, Yong Jae

AU - Hwang, Jinwook

AU - Yeom, Hyeyoung

AU - Upadhyay, Soumya

AU - Liu, Caroline

AU - Choi, Haneul

AU - Yoo, Ji Won

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N2 - Heart failure (HF) remains the most common diagnosis of hospital admission among U.S. adults. Although diagnosis and treatment have improved, mortality rates have not changed, and mortality risk remains high after hospitalization. The current researchers examined how limited health literacy is associated with mortality risk in adults with recent hospitalization due to decompensated HF. Researchers conducted a systematic literature search, selecting three cohort and three intervention studies. The fixed-effect model was used. From the three cohort studies, 2,858 study participants were analyzed. Among participants, limited health literacy was associated with higher all-cause mortality (pooled odds ratio = 2.95; 95% confidence interval [2.34, 3.72]; p < 0.01; I 2 = 47.38%). However, none of the intervention studies showed an association between limited health literacy and cardiac (or all-cause) mortality. Future research should focus on the efficiency and safety of telehealth-based medicine in patients with HF, particularly those with limited health literacy.

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Health literacy and mortality in patients with heart failure: A systematic review and meta-analysis

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

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