Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Differences in epaAC© in heart failure patients with or without readmission : a retrospective case-control study
Authors: Höhn, Eva-Maria
Hediger, Hannele
Hermann, Matthias
Petry, Heidi
Schmid-Mohler, Gabriela
et. al: No
DOI: 10.1024/1012-5302/a000847
Published in: Pflege
Volume(Issue): 35
Issue: 2
Page(s): 85
Pages to: 94
Issue Date: 28-Oct-2021
Publisher / Ed. Institution: Hogrefe
ISSN: 1012-5302
Language: German
Subjects: Aktivitäten des täglichen Lebens; Herzinsuffizienz; Pflege; Rehospitalisation; Risikofaktor; Activities of daily living; Heart failure; Nursing; Patient readmission; Risk factor
Subject (DDC): 616: Internal medicine and diseases
Abstract: Background: Heart failure is one of the most frequent reasons for hospitalization in elderly people. In heart failure, approximately 22.8 % of hospitalised patients are rehospitalised within 30 days. The nursing assessment tool epaAC could provide information on risk factors for readmission. Aim: The aim of this study was to identify possible group differences in the items and scores of the epaAC discharge assessment with regard to the endpoint of unplanned readmissions within 30 days after discharge from index-hospitalisation. Methods: Using a retrospective case-control design, differences in the epaAC variables were investigated by descriptive and comparative statistics. Chi-square test, Wilcoxon test and t-test were performed with two-sided alpha level α < 0.05. Alpha error accumulation was accounted for by Benjamini & Hochberg correction. Results: No significant group differences were found in all items and scores of the discharge epaAC. There is only weak evidence that the presence of acute respiratory impairment at time of discharge is higher in the patient with rehospitalisation than in those without rehospitalisation. Conclusions: The items and scores of the nursing assessment instrument epaAC did not significantly differ between patients with or without 30-days readmission. Further exploration to assess the epaAC's potential to predict rehospitalisation in heart failure is needed.
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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