PMID- 16290979
OWN - NLM
STAT- MEDLINE
DCOM- 20051229
LR  - 20220321
IS  - 1097-6744 (Electronic)
IS  - 0002-8703 (Linking)
VI  - 150
IP  - 5
DP  - 2005 Nov
TI  - Vulnerabilities of patients recovering from an exacerbation of chronic heart 
      failure.
PG  - 984
AB  - BACKGROUND: Many rehospitalizations for heart failure (HF) are preventable as 
      they are precipitated by modifiable factors. High early readmission rates suggest 
      that patients commonly are discharged from HF hospitalizations with such problems 
      unaddressed. The purpose of this study was to describe the prevalence of multiple 
      risk factors for rehospitalization in patients recently discharged from a 
      hospitalization for decompensated HF. METHODS AND RESULTS: The following 
      potentially modifiable risk factors for rehospitalization were evaluated in 202 
      patients: functional status; whether the patient lived alone; presence of 
      anxiety, depression, or poor quality of life; and symptom status and adherence to 
      prescribed medications, low-sodium diet, and symptom monitoring recommendations. 
      Most patients were severely functionally impaired (70% New York Heart Association 
      [NYHA] functional class III/IV). Of the 28% of patients who lived alone, 50% were 
      rated as NYHA functional class III or IV. Fifty percent of patients were anxious, 
      whereas 69% of patients were depressed. Health-related quality of life was 
      substantially impaired. Patients reported substantial symptom burden. Adherence 
      with recommended self-care strategies was poor: 14% weighed themselves daily, 9% 
      of patients reported monitoring for symptoms of worsening HF, 31% could not name 
      any symptom, and only 34% of patients taking all medications as prescribed. A 
      total of 23% of patients had all of the following risk factors: NYHA functional 
      class III or IV, lived alone, > or =1 comorbidities, and were depressed or 
      anxious. CONCLUSIONS: Patients newly discharged from a hospitalization for HF 
      exhibit many psychosocial and behavioral risk factors for rehospitalization, 
      although they have been judged clinically stable.
FAU - Moser, Debra K
AU  - Moser DK
AD  - College of Nursing, University of Kentucky, Lexington, Kentucky 40536-0232, USA. 
      dmoser@uky.edu
FAU - Doering, Lynn V
AU  - Doering LV
FAU - Chung, Misook L
AU  - Chung ML
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - Aged
MH  - Chronic Disease
MH  - Female
MH  - Heart Failure/complications/*physiopathology
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Risk Factors
EDAT- 2005/11/18 09:00
MHDA- 2005/12/31 09:00
CRDT- 2005/11/18 09:00
PHST- 2005/01/03 00:00 [received]
PHST- 2005/07/30 00:00 [accepted]
PHST- 2005/11/18 09:00 [pubmed]
PHST- 2005/12/31 09:00 [medline]
PHST- 2005/11/18 09:00 [entrez]
AID - S0002-8703(05)00756-8 [pii]
AID - 10.1016/j.ahj.2005.07.028 [doi]
PST - ppublish
SO  - Am Heart J. 2005 Nov;150(5):984. doi: 10.1016/j.ahj.2005.07.028.