Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study.
Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study.
复制标题
DOI：
10.1016/j.mayocp.2017.09.018
复制
发表时间：
2018-01
影响因子：
8.9
通讯作者：
Roger VL
中科院分区：
文献类型：
--
作者：
Fabbri M;Yost K;Finney Rutten LJ;Manemann SM;Boyd CM;Jensen D;Weston SA;Jiang R;Roger VL
研究健康素养对心力衰竭（HF）患者住院和死亡的影响。从2013年1月1日至2015年12月31日，来自明尼苏达州东南部11个县地区的居民进行了首次国际疾病分类，第九次修订代码428或第十次修订代码150 (n=5121)，并进行了前瞻性调查，以使用既定的筛查问题衡量健康素养。共有2647例患者回复调查（有效率52%）；保留2487例具有完整健康素养资料的患者进行分析。健康素养以三个5分制的综合得分来衡量，分为适当（≥8）和低（<8）。采用Cox比例风险回归和Andersen-Gill模型检验健康素养与死亡率和住院率的关系。2487例患者（平均年龄73.5岁，53.6%为男性[n=1333]）中，10.5% （n= 261）健康素养较低。平均±SD随访15.5±7.2个月，死亡250例，住院1584例。卫生知识普及程度低与死亡率和住院率增加有关。在调整了年龄、性别、合并症、教育程度和婚姻状况后，与健康素养充足的患者相比，低健康素养患者的死亡和住院风险比分别为1.91 （95% CI, 1.38-2.65； P<.001）和1.30 （95% CI, 1.02-1.66； P=.03）。健康素养低与心衰患者住院和死亡风险增加有关。健康素养的临床评估有助于设计针对低健康素养患者的个性化干预措施。
To examine the impact of health literacy on hospitalizations and death in a population of patients with heart failure (HF). Residents from the 11-county region in southeast Minnesota with a first-ever International Classification of Diseases, Ninth Revision code 428 or Tenth Revision code 150 (n=5121) from January 1, 2013, through December 31, 2015, were identified and prospectively surveyed to measure health literacy using established screening questions. A total of 2647 patients returned the survey (response rate, 52%); 2487 patients with complete health literacy data were retained for analysis. Health literacy, measured as a composite score on three 5-point scales, was categorized as adequate (≥8) or low (<8). Cox proportional hazards regression and Andersen-Gill models were used to examine the association of health literacy with mortality and hospitalization. Of 2487 patients (mean age, 73.5 years; 53.6% male [n=1333]), 10.5% (n= 261) had low health literacy. After mean ± SD follow-up of 15.5±7.2 months, 250 deaths and 1584 hospitalizations occurred. Low health literacy was associated with increased mortality and hospitalizations. After adjusting for age, sex, comorbidity, education, and marital status, the hazard ratios for death and hospitalizations in patients with low health literacy were 1.91 (95% CI, 1.38–2.65; P<.001) and 1.30 (95% CI, 1.02–1.66; P=.03), respectively, compared with patients with adequate health literacy. Low health literacy is associated with increased risks of hospitalization and death in patients with HF. The clinical evaluation of health literacy could help design interventions individualized for patients with low health literacy.
登录
查看更多内容
影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
37.8
作者：
Desai, Akshay S.;Stevenson, Lynne W.
通讯作者：
Stevenson, Lynne W.
DOI：
10.1016/j.sapharm.2013.07.001
发表时间：
2014-03-01
影响因子：
3.9
作者：
Chen, Aleda M. H.;Yehle, Karen S.;Plake, Kimberly S.
通讯作者：
Plake, Kimberly S.
DOI：
10.1161/hhf.0b013e318291329a
发表时间：
2013-05
期刊：
Circulation. Heart failure
影响因子：
--
作者：
Heidenreich PA;Albert NM;Allen LA;Bluemke DA;Butler J;Fonarow GC;Ikonomidis JS;Khavjou O;Konstam MA;Maddox TM;Nichol G;Pham M;Piña IL;Trogdon JG;American Heart Association Advocacy Coordinating Committee;Council on Arteriosclerosis, Thrombosis and Vascular Biology;Council on Cardiovascular Radiology and Intervention;Council on Clinical Cardiology;Council on Epidemiology and Prevention;Stroke Council
通讯作者：
Stroke Council
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle