Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses

Coby Annema, Marie Louise Luttik, Tiny Jaarsma

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Despite efforts to improve outcomes in heart failure (HF), readmission rates remain relatively high. Reasons for readmission from different perspectives (patient, caregiver, health care providers) may help to optimize the future management of patients with HF. The aims of this study are to 1) gain insight into reasons for HF readmission from the perspective of patients, caregivers, cardiologists, and HF nurses; 2) examine similarities and differences in perspectives on the reason for an HF readmission, and 3) describe possibilities to prevent an HF readmission from different perspectives.

METHODS AND RESULTS: Data on reasons for readmission were collected on 173 readmissions. Perspectives of patients, caregivers, cardiologists, and HF nurses were collected by interview and questionnaire. Worsening HF as the sole reason for readmission was reported most often; however, 36% of caregivers, 56% of patients, and 63% to 65% of health care providers indicated that other factors, such as comorbidity, nonadherence, and nonoptimal medication, were important contributing factors. In only 34% of readmissions, patients and their caregivers agreed with health care providers on the underlying reason. Respondents reported that 23% to 31% of the readmissions could probably have been prevented if adherence were higher, patients requested help earlier, and adequate multidisciplinary professional help were available.

CONCLUSION: To prevent future readmissions of patients with HF, it is important to fully understand the reasons for readmission by gaining insight on the reason for readmission from different perspectives. Also, we may need another approach to prevent adverse outcomes in which other medical problems and new strategies to improve adherence have to be considered.

Original languageEnglish
Pages (from-to)427-434
JournalHeart & lung : the journal of critical care
Volume38
Issue number5
DOIs
Publication statusPublished - 17 Sep 2009
Externally publishedYes

Keywords

  • cardiology
  • prevention
  • causes
  • health education
  • heart failure
  • netherlands
  • patient readmission
  • risk factors
  • social perception

Cite this

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title = "Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses",
abstract = "OBJECTIVE: Despite efforts to improve outcomes in heart failure (HF), readmission rates remain relatively high. Reasons for readmission from different perspectives (patient, caregiver, health care providers) may help to optimize the future management of patients with HF. The aims of this study are to 1) gain insight into reasons for HF readmission from the perspective of patients, caregivers, cardiologists, and HF nurses; 2) examine similarities and differences in perspectives on the reason for an HF readmission, and 3) describe possibilities to prevent an HF readmission from different perspectives.METHODS AND RESULTS: Data on reasons for readmission were collected on 173 readmissions. Perspectives of patients, caregivers, cardiologists, and HF nurses were collected by interview and questionnaire. Worsening HF as the sole reason for readmission was reported most often; however, 36{\%} of caregivers, 56{\%} of patients, and 63{\%} to 65{\%} of health care providers indicated that other factors, such as comorbidity, nonadherence, and nonoptimal medication, were important contributing factors. In only 34{\%} of readmissions, patients and their caregivers agreed with health care providers on the underlying reason. Respondents reported that 23{\%} to 31{\%} of the readmissions could probably have been prevented if adherence were higher, patients requested help earlier, and adequate multidisciplinary professional help were available.CONCLUSION: To prevent future readmissions of patients with HF, it is important to fully understand the reasons for readmission by gaining insight on the reason for readmission from different perspectives. Also, we may need another approach to prevent adverse outcomes in which other medical problems and new strategies to improve adherence have to be considered.",
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Reasons for readmission in heart failure : Perspectives of patients, caregivers, cardiologists, and heart failure nurses. / Annema, Coby; Luttik, Marie Louise; Jaarsma, Tiny.

In: Heart & lung : the journal of critical care, Vol. 38, No. 5, 17.09.2009, p. 427-434.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Reasons for readmission in heart failure

T2 - Perspectives of patients, caregivers, cardiologists, and heart failure nurses

AU - Annema, Coby

AU - Luttik, Marie Louise

AU - Jaarsma, Tiny

N1 - References.

PY - 2009/9/17

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N2 - OBJECTIVE: Despite efforts to improve outcomes in heart failure (HF), readmission rates remain relatively high. Reasons for readmission from different perspectives (patient, caregiver, health care providers) may help to optimize the future management of patients with HF. The aims of this study are to 1) gain insight into reasons for HF readmission from the perspective of patients, caregivers, cardiologists, and HF nurses; 2) examine similarities and differences in perspectives on the reason for an HF readmission, and 3) describe possibilities to prevent an HF readmission from different perspectives.METHODS AND RESULTS: Data on reasons for readmission were collected on 173 readmissions. Perspectives of patients, caregivers, cardiologists, and HF nurses were collected by interview and questionnaire. Worsening HF as the sole reason for readmission was reported most often; however, 36% of caregivers, 56% of patients, and 63% to 65% of health care providers indicated that other factors, such as comorbidity, nonadherence, and nonoptimal medication, were important contributing factors. In only 34% of readmissions, patients and their caregivers agreed with health care providers on the underlying reason. Respondents reported that 23% to 31% of the readmissions could probably have been prevented if adherence were higher, patients requested help earlier, and adequate multidisciplinary professional help were available.CONCLUSION: To prevent future readmissions of patients with HF, it is important to fully understand the reasons for readmission by gaining insight on the reason for readmission from different perspectives. Also, we may need another approach to prevent adverse outcomes in which other medical problems and new strategies to improve adherence have to be considered.

AB - OBJECTIVE: Despite efforts to improve outcomes in heart failure (HF), readmission rates remain relatively high. Reasons for readmission from different perspectives (patient, caregiver, health care providers) may help to optimize the future management of patients with HF. The aims of this study are to 1) gain insight into reasons for HF readmission from the perspective of patients, caregivers, cardiologists, and HF nurses; 2) examine similarities and differences in perspectives on the reason for an HF readmission, and 3) describe possibilities to prevent an HF readmission from different perspectives.METHODS AND RESULTS: Data on reasons for readmission were collected on 173 readmissions. Perspectives of patients, caregivers, cardiologists, and HF nurses were collected by interview and questionnaire. Worsening HF as the sole reason for readmission was reported most often; however, 36% of caregivers, 56% of patients, and 63% to 65% of health care providers indicated that other factors, such as comorbidity, nonadherence, and nonoptimal medication, were important contributing factors. In only 34% of readmissions, patients and their caregivers agreed with health care providers on the underlying reason. Respondents reported that 23% to 31% of the readmissions could probably have been prevented if adherence were higher, patients requested help earlier, and adequate multidisciplinary professional help were available.CONCLUSION: To prevent future readmissions of patients with HF, it is important to fully understand the reasons for readmission by gaining insight on the reason for readmission from different perspectives. Also, we may need another approach to prevent adverse outcomes in which other medical problems and new strategies to improve adherence have to be considered.

KW - cardiology

KW - prevention

KW - causes

KW - health education

KW - heart failure

KW - netherlands

KW - patient readmission

KW - risk factors

KW - social perception

KW - hartfalen

KW - ziekenhuisopname

KW - cardiologie

KW - preventie

KW - nederland

KW - oorzaken

KW - heropnames

KW - risicofactoren

U2 - 10.1016/j.hrtlng.2008.12.002

DO - 10.1016/j.hrtlng.2008.12.002

M3 - Article

VL - 38

SP - 427

EP - 434

JO - Heart & lung : the journal of critical care

JF - Heart & lung : the journal of critical care

SN - 1527-3288

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ER -