Distelhorst Karen, Bena James F, Morrison Shannon L, Albert Nancy M
J Cardiovasc Nurs. 2021;36(2):151-156. doi: 10.1097/JCN.0000000000000685.
Per national guidelines, early follow-up appointments should be scheduled before discharge, but in previous research, appointments scheduled before discharge were not associated with appointment adherence.
The purpose of this study was to determine whether patient, heart failure (HF), and hospital factors were associated with predischarge appointment scheduling.
A secondary analysis of a medical record review included patients hospitalized for decompensated HF at 3 health system hospitals who had a scheduled office appointment post discharge at 14 days or less. Patient demographics, and social, HF, and hospital factors were studied for association with predischarge scheduling.
In multivariable modeling, the odds of having an appointment scheduled predischarge were based on 3 factors: nonwhite race, history of chronic renal insufficiency, and no admission within 14 days before HF hospitalization.
Appointment scheduling may be based on provider perceptions of readmission risk. Follow-up appointment scheduling practices should be based on systematic processes.
根据国家指南，早期随访预约应在出院前安排，但在先前的研究中，出院前安排的预约与预约依从性无关。
本研究的目的是确定患者、心力衰竭（HF）和医院因素是否与出院前预约安排有关。
对一份病历审查进行二次分析，纳入了在3家卫生系统医院因失代偿性HF住院且出院后14天或更短时间内安排了门诊预约的患者。研究了患者人口统计学、社会、HF和医院因素与出院前预约安排的相关性。
在多变量模型中，出院前安排预约的几率基于3个因素：非白人种族、慢性肾功能不全病史以及HF住院前14天内未入院。
预约安排可能基于提供者对再入院风险的认知。随访预约安排实践应基于系统流程。
