Statistical Models and Patient Predictors of Readmission for Heart Failure<subtitle>A Systematic Review</subtitle>
Archives of Internal MedicinePublished 14 July 2008
Joseph S. Ross
Citations345
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TL;DR
A systematic review of the published English-language literature identified no model designed to compare hospital rates of readmission, while models designed to predict patients' readmission risk used heterogeneous approaches and found substantial inconsistencies regarding which patient characteristics were predictive.
Abstract
Our systematic review identified no model designed to compare hospital rates of readmission, while models designed to predict patients' readmission risk used heterogeneous approaches and found substantial inconsistencies regarding which patient characteristics were predictive. Clinically, patient risk stratification is challenging. From a policy perspective, a validated risk-standardized statistical model to accurately profile hospitals using readmission rates is unavailable in the published English-language literature to date.
Keywords
Medicine
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The American Journal of CardiologyEffect of gender on treatment, resource utilization, and outcomes in congestive heart failure in Quebec, Canada
52 Citations2005Richard Sheppard, Hassan Behlouli +2 more
Clinical outcomes in women and men who had CHF were similar, despite less frequent cardiologist assessment, fewer cardiac-related procedures, and less frequent use of standard medical therapy.
Clinical Nursing ResearchA Medication Discharge Planning Program
52 Citations1993Joanne Kraenzle Schneider, Susan Hornberger +3 more
Those receiving the medication discharged planning program were less likely to be readmitted, suggesting the importance of a medication discharge planning program.
International Journal of CardiologyPredicting readmissions and cardiovascular events in heart failure patients
51 Citations2005Märit Mejhert, Thomas Kahan +2 more
Measurements representing different aspects of the heart failure syndrome can easily be obtained to stratify long-term risks of mortality and morbidity in hospitalised heart failure patients, pointing to the need for a simple assessment of QoL.
Circulation JournalCardiac Troponin T vs Other Biochemical Markers in Patients With Congestive Heart Failure
50 Citations2007Yukiko Nishio, Yukihito Sato +6 more
Patients with ongoing myocardial injury and high cTnT had associated findings consistent with activation of the sympathetic system, synthesis of cardiac fibrosis, inflammation and metabolic abnormalities, and by multivariate analysis, high c tnT and renin remained significant predictors of death or rehospitalization.
CHEST JournalAcute Pulmonary Embolism Is an Independent Predictor of Adverse Events in Severe Decompensated Heart Failure Patients
48 Citations2007Eduardo Sahade Darzé, Adriana Lopes Latado +5 more
Acute PE commonly complicates the hospital course of patients with severe CHF, increasing the length of hospital stay and the chance of death or rehospitalization at 3 months.
Clinical CardiologyPredictors of cause‐specific hospital readmission in patients with heart failure
47 Citations2003Zaruhi Babayan, Robert L. McNamara +6 more
This data indicates that repeat hospital readmissions are frequent and increasing over time in patients with heart failure, and the predictors for readmission are not completely understood.
BMC NephrologyAnemia and chronic kidney disease are associated with poor outcomes in heart failure patients
46 Citations2006Jean‐Christophe Luthi, W. Dana Flanders +3 more
Both CKD and anemia are frequent among older patients with heart failure and are predictors of adverse outcomes, independent of other known risk factors for heart failure.
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