Hospital readmission in heart failure, a novel analysis of a longstanding problem

Verfasser / Beitragende:
[Brett Sperry, George Ruiz, Samer Najjar]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/3(2015-05-01), 251-258
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-014-9459-2  |2 doi 
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245 0 0 |a Hospital readmission in heart failure, a novel analysis of a longstanding problem  |h [Elektronische Daten]  |c [Brett Sperry, George Ruiz, Samer Najjar] 
520 3 |a Acute decompensated heart failure is a significant source of morbidity and mortality in the USA. It is the most common reason for admission in the Medicare population and the greatest cause of hospital readmission in both medical and surgical patients. As many of these readmissions are considered preventable, providers and hospital systems are seeking novel strategies to reduce rehospitalization. Several specific interventions have been shown to decrease readmission for heart failure. However, these are typically narrow in scope, focusing on one aspect of patient care and providing a one-size-fits-all approach. We review the data and propose integrating some of these interventions into a comprehensive patient-centered model that is organized into six categories: quality of medical management, early reassessment, health literacy, neuropsychological status, financial means and functional status. By screening for deficiencies in each of these categories, providers and hospital systems can use resources more efficiently to make targeted interventions to improve health outcomes and mitigate readmissions. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a Patient readmission  |2 nationallicence 
690 7 |a Health literacy  |2 nationallicence 
690 7 |a Patient discharge  |2 nationallicence 
690 7 |a Telemedicine  |2 nationallicence 
690 7 |a Self care  |2 nationallicence 
700 1 |a Sperry  |D Brett  |u Cleveland Clinic Foundation, Cleveland, OH, USA  |4 aut 
700 1 |a Ruiz  |D George  |u MedStar Washington Hospital Center, Washington, DC, USA  |4 aut 
700 1 |a Najjar  |D Samer  |u MedStar Washington Hospital Center, Washington, DC, USA  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 251-258  |x 1382-4147  |q 20:3<251  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-014-9459-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10741-014-9459-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sperry  |D Brett  |u Cleveland Clinic Foundation, Cleveland, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ruiz  |D George  |u MedStar Washington Hospital Center, Washington, DC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Najjar  |D Samer  |u MedStar Washington Hospital Center, Washington, DC, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 251-258  |x 1382-4147  |q 20:3<251  |1 2015  |2 20  |o 10741