Perceived symptoms as the primary indicators for 30-day heart failure readmission.
<h4>Background</h4>To identify 30-day rehospitalizations in patients discharged with heart failure (HF) based on clinical indications, physiologic measures and symptoms.<h4>Methods</h4>Fifty-six patients with heart failure participated. After discharge to home, clinical indic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0267820 |
| _version_ | 1818478628758880256 |
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| author | Kelley M Anderson Dottie Murphy Hunter Groninger Paul Kolm Haijun Wang Vera Barton-Maxwel |
| author_facet | Kelley M Anderson Dottie Murphy Hunter Groninger Paul Kolm Haijun Wang Vera Barton-Maxwel |
| author_sort | Kelley M Anderson |
| collection | DOAJ |
| description | <h4>Background</h4>To identify 30-day rehospitalizations in patients discharged with heart failure (HF) based on clinical indications, physiologic measures and symptoms.<h4>Methods</h4>Fifty-six patients with heart failure participated. After discharge to home, clinical indicators of dyspnea, fatigue, orthopnea, dyspnea with exertion, daily weight, edema, heart rate, blood pressure, mental condition, medication adherence, and overall well-being were reported by participants daily for up to 30 days.<h4>Results</h4>Joint modeling of longitudinal and time-to-event approach was applied to assess the association of readmission with longitudinal measurements. There was no association between demographic, physiological, or laboratory variables and re-hospitalization within 30 days post discharge. Perceptions of dyspnea (p = .012) and feeling unwell (p < .001) were associated with rehospitalization. Patients struggling to breath were 10.7 times more likely to be readmitted than those not struggling to breath.<h4>Conclusion</h4>Perceived measures, particularly dyspnea and feeling unwell were more important factors than demographic, physiological, or laboratory parameters in predicting 30-day rehospitalizations in this racially diverse cohort. The symptomatic experience of heart failure is an important indicator of rehospitalization. |
| first_indexed | 2024-12-10T09:50:04Z |
| format | Article |
| id | doaj.art-1f65fbb120ca4fc29573c229617f752b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T09:50:04Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-1f65fbb120ca4fc29573c229617f752b2022-12-22T01:53:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01175e026782010.1371/journal.pone.0267820Perceived symptoms as the primary indicators for 30-day heart failure readmission.Kelley M AndersonDottie MurphyHunter GroningerPaul KolmHaijun WangVera Barton-Maxwel<h4>Background</h4>To identify 30-day rehospitalizations in patients discharged with heart failure (HF) based on clinical indications, physiologic measures and symptoms.<h4>Methods</h4>Fifty-six patients with heart failure participated. After discharge to home, clinical indicators of dyspnea, fatigue, orthopnea, dyspnea with exertion, daily weight, edema, heart rate, blood pressure, mental condition, medication adherence, and overall well-being were reported by participants daily for up to 30 days.<h4>Results</h4>Joint modeling of longitudinal and time-to-event approach was applied to assess the association of readmission with longitudinal measurements. There was no association between demographic, physiological, or laboratory variables and re-hospitalization within 30 days post discharge. Perceptions of dyspnea (p = .012) and feeling unwell (p < .001) were associated with rehospitalization. Patients struggling to breath were 10.7 times more likely to be readmitted than those not struggling to breath.<h4>Conclusion</h4>Perceived measures, particularly dyspnea and feeling unwell were more important factors than demographic, physiological, or laboratory parameters in predicting 30-day rehospitalizations in this racially diverse cohort. The symptomatic experience of heart failure is an important indicator of rehospitalization.https://doi.org/10.1371/journal.pone.0267820 |
| spellingShingle | Kelley M Anderson Dottie Murphy Hunter Groninger Paul Kolm Haijun Wang Vera Barton-Maxwel Perceived symptoms as the primary indicators for 30-day heart failure readmission. PLoS ONE |
| title | Perceived symptoms as the primary indicators for 30-day heart failure readmission. |
| title_full | Perceived symptoms as the primary indicators for 30-day heart failure readmission. |
| title_fullStr | Perceived symptoms as the primary indicators for 30-day heart failure readmission. |
| title_full_unstemmed | Perceived symptoms as the primary indicators for 30-day heart failure readmission. |
| title_short | Perceived symptoms as the primary indicators for 30-day heart failure readmission. |
| title_sort | perceived symptoms as the primary indicators for 30 day heart failure readmission |
| url | https://doi.org/10.1371/journal.pone.0267820 |
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