Evidenced-based factors in readmission of patients with heart failure.
The purpose of this project was to organize the variables associated with the hospital readmission of patients with heart failure (HF) into a usable framework to inform clinical practice and facilitate administrative decision making. An integrated, systematic review of the literature was used as the research approach. A content analysis of the sample (31 research reports from the years 1986-2004) yielded multiple factors associated with the hospital readmission of HF patients. Factors and their definitions were extracted, grouped into like categories, and eventually classified into 5 domains-demographic, physiologic, psychosocial, patient functioning, and resource utilization. The resulting framework has clinical, research, and administrative implications in the delivery of care to HF patients.
Anderson
Mary Ann
MA
College of Nursing, University of Illinois at Chicago, 1515 Fifth Avenue, Suite 500, Moline, IL 61265, USA. MAA928@uic.edu
Levsen
Janice
J
Dusio
Marie E
ME
Bryant
Paula J
PJ
Brown
Sarah M
SM
Burr
Cynthia M
CM
Brown-Benn
Carrie
C
D000203:Activities of Daily Living; D019090:Case Management; D003659:Decision Making, Organizational; D019468:Disease Management; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006304:Health Status; D006333:Heart Failure / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007902:Length of Stay; D015401:Nursing Administration Research; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012307:Risk Factors; D012648:Self Care; D014481:United States / Q000453:epidemiology