Risk Factors for All-Cause Rehospitalization Among Medicare Recipients with Heart Failure Receiving Telehomecare

Overview

Journal Telemed J E Health

Specialties Health Services
Medical Informatics

Date 2016 Oct 1

PMID 27689956

Citations 4

Authors

Youjeong Kang

Matthew D McHugh

Jesse Chittams

Kathryn H Bowles

Affiliations

Soon will be listed here.

Abstract

Objective: To identify potential risk factors associated with rehospitalization among Medicare recipients with heart failure (HF) receiving telehomecare.

Materials And Methods: This study is a nonexperimental, cross-sectional secondary data analysis of the Centers for Medicare and Medicaid (CMS) mandated assessment called the Outcome and Assessment Information Set (OASIS)-C, provided by a large home care company. A total of 526 patients who received telehomecare from January 1, 2011 to August 31, 2013 were included in the analyses, which used multiple logistic regression.

Results: The overall rate of rehospitalization was 36% while patients were receiving telehomecare. Moderately frail health status (p = 0.01), the presence of severe pain (p = 0.01), the presence of dermatologic problems (p = 0.03), and independence in dressing one's lower body (compared to slightly dependent [p = 0.01] or mostly dependent patient groups [p = 0.02]) were identified as risk factors for rehospitalization.

Conclusions: The risk factors identified from this study may be used to drive more effective telehomecare placements, and referrals for additional services among telehomecare patients with HF.

Citing Articles

Virtual healthcare solutions in heart failure: a literature review.

Lee K, Breznen B, Ukhova A, Martin S, Koehler F Front Cardiovasc Med. 2023; 10:1231000.

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Utilization and Functional Outcomes Among Medicare Home Health Recipients Varied Across Living Situations.

Wang J, Ying M, Temkin-Greener H, Shang J, Caprio T, Li Y J Am Geriatr Soc. 2020; 69(3):704-710.

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Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.

Wang J, Monroe T, Simning A, Conwell Y, Caprio T, Cai X Pain Manag Nurs. 2020; 22(1):36-43.

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Cardiac Rehabilitation: Current Review of the Literature and Its Role in Patients with Heart Failure.

Shah N, AbuHaniyeh A, Ahmed H Curr Treat Options Cardiovasc Med. 2018; 20(2):12.

PMID: 29478150 DOI: 10.1007/s11936-018-0611-5.

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