Rotvig Camilla, Christensen Anne Vinggaard, Rasmussen Trine Bernholdt, Borregaard Britt, Thrysoee Lars, Juel Knud, Thorup Charlotte Brun, Mols Rikke Elmose, Berg Selina Kikkenborg
The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Department of Cardiology, Herlev and Gentofte University Hospital, Gentofte hospitalsvej 1, 2900 Hellerup, Denmark.
Eur J Cardiovasc Nurs. 2021 Oct 27;20(7):667-675. doi: 10.1093/eurjcn/zvab017.
Readiness for hospital discharge describes a patient's perception of feeling prepared to leave the hospital. In mixed patient populations, readiness for hospital discharge has shown to predict readmission and mortality in the short term. The objectives of a population of men and women with cardiac diseases, were to investigate: (i) whether readiness for hospital discharge predicts readmission and mortality within 1-year post-discharge, as well as (ii) the association between 'physical stability', 'adequate support', 'psychological ability', and 'adequate information and knowledge' and readiness for hospital discharge.
Data from the national cross-sectional survey DenHeart were used and included patients with cardiac diseases at hospital discharge. Readiness for hospital discharge was evaluated by one self-reported question, and attributes were illuminated by Short-Form-12, the Edmonton Symptom Assessment Scale and ancillary questions. Data were combined with national registries at baseline and at 1-year follow-up. Cox proportional-hazards model were used to regress readmission and mortality. The analysis included 13 114 patients (response rate: 52%). The majority responded that they felt ready for hospital discharge (95%). Feeling unready (n = 618) was a predictor of 1 year, all-cause readmission among women and men [hazard ratio (HR) = 1.43, 95% confidence interval (CI) 1.18-1.74; HR = 1.59, 95% CI 1.34-1.90]. No significant results were found on all-cause mortality. The four attributes were associated with unreadiness at hospital discharge.
Not feeling ready for hospital discharge was a predictor of increased readmission risk in women and men with cardiac disease during 1 year after hospital discharge. Four attributes were significantly impaired in patients feeling unready for hospital discharge.
出院准备情况描述了患者对准备好出院的感受。在混合患者群体中，出院准备情况已显示可在短期内预测再入院率和死亡率。本研究针对患有心脏病的男性和女性群体的目标是调查：（i）出院准备情况是否能预测出院后1年内的再入院率和死亡率，以及（ii）“身体稳定性”、“充分支持”、“心理能力”和“充分信息与知识”与出院准备情况之间的关联。
使用了来自全国横断面调查DenHeart的数据，其中包括出院时患有心脏病的患者。出院准备情况通过一个自我报告问题进行评估，属性通过简短健康调查问卷12、埃德蒙顿症状评估量表和辅助问题进行阐明。数据与基线和1年随访时的国家登记处数据相结合。使用Cox比例风险模型对再入院率和死亡率进行回归分析。分析纳入了13114名患者（回复率：52%）。大多数患者表示他们感觉已准备好出院（95%）。感觉未准备好（n = 618）是男性和女性1年内全因再入院的预测因素[风险比（HR）= 1.43，95%置信区间（CI）1.18 - 1.74；HR = 1.59，95% CI 1.34 - 1.90]。在全因死亡率方面未发现显著结果。这四个属性与出院时未准备好相关。
出院时感觉未准备好是心脏病患者出院后1年内再入院风险增加的预测因素。感觉未准备好出院的患者的四个属性明显受损。
