Young Lufei, Gilbert Carol, Kim Jungyoon, Seo Yaewon, Wilson Fernando A, Chen Li-Wu
College of Nursing, Augusta University, USA.
Department of Pediatrics, University of Nebraska Medical Center, USA.
J Fam Med Dis Prev. 2016;2(2). doi: 10.23937/2469-5793/1510037. Epub 2016 Jun 28.
Heart failure (HF) is one of the most common chronic and disabling illnesses, resulting in high morbidity and mortality. Readmission rate, one key indicator of healthcare quality and healthcare utilization, is prevalent in HF patients. Inconsistent evidences exist about the impact of rural health disparities on HF patients' readmissions. The purpose of this explorative study was to examine the characteristics of hospitalized HF patients and factors related to readmissions in 2009. The results showed all-cause readmission rates were 13.6%, 23.6%, and 31.6% at 30-, 90- and 180-days respectively. The factors related readmissions included age, income, discharge/transfer status from index hospitalization, and comorbidity. Findings from this analysis suggested additional studies using multiple data sources are needed to have a comprehensive understanding of risk factors related HF patients' healthcare utilization.
心力衰竭（HF）是最常见的慢性致残性疾病之一，导致高发病率和死亡率。再入院率是医疗质量和医疗利用的一个关键指标，在HF患者中很普遍。关于农村卫生差距对HF患者再入院的影响，存在不一致的证据。这项探索性研究的目的是调查2009年住院HF患者的特征以及与再入院相关的因素。结果显示，30天、90天和180天的全因再入院率分别为13.6%、23.6%和31.6%。与再入院相关的因素包括年龄、收入、首次住院的出院/转院状态以及合并症。该分析的结果表明，需要使用多个数据源进行更多研究，以全面了解与HF患者医疗利用相关的风险因素。
