影响充血性心力衰竭再入院的社会经济和健康相关因素。

IF 1.5 4区 医学 Q3 FAMILY STUDIES Family & Community Health Pub Date : 2023-01-01 DOI:10.1097/FCH.0000000000000350
Jollibyrd M Gusto, Angela W Prehn
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引用次数: 0

摘要

充血性心力衰竭(CHF)再入院是频繁和昂贵的,但可以预防。本研究的目的是通过检查CHF患者30天再入院与其付款人身份、种族、民族、主要语言、生活安排和合并症之间的关系,分析CHF再入院的社会经济和健康相关因素。这项回顾性病例对照研究使用了2014年7月至2017年12月在北弗吉尼亚一家非营利性医院住院的450名CHF患者的次要数据。采用χ 2和逻辑回归对数据进行分析。生活安排和合并症慢性肾功能衰竭(CRF)是CHF再入院的有统计学意义的预测因素;其他因素均不显著。与单独生活的患者相比,与家人一起生活和在辅助生活设施中生活的患者再入院的可能性更小(比值比[OR]分别= 0.2和0.5)。无CRF患者再入院的可能性低于有CRF患者(OR = 0.6)。本研究提供的数据为社区卫生计划提供信息,这些计划针对因CHF加重而频繁再入院的个体。
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Socioeconomic and Health-Related Factors Affecting Congestive Heart Failure Readmissions.

Congestive heart failure (CHF) readmissions are frequent and costly but preventable. The purpose of this study was to analyze socioeconomic and health-related factors of CHF readmissions by examining the relationship between 30-day readmissions of individuals with CHF and their payer status, race, ethnicity, primary language spoken, living arrangement, and comorbidities. This retrospective case-control study used secondary data from 450 CHF patients admitted to a not-for-profit Northern Virginia hospital from July 2014 to December 2017. Data were analyzed using χ 2 and logistic regression. Living arrangements and comorbid chronic renal failure (CRF) were statistically significant predictors of CHF readmissions; all other factors were nonsignificant. Patients who lived with family and those in assisted living facilities were less likely to be readmitted than those who lived alone (odds ratio [OR] = 0.2 and 0.5, respectively). Patients without CRF were less likely to be readmitted than those who had CRF (OR = 0.6). This study contributes data to inform community-based health programs tailored toward frequently readmitted individuals due to CHF exacerbation.

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来源期刊
CiteScore
2.70
自引率
4.30%
发文量
69
期刊介绍: Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.
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