Socioeconomic Disadvantage and Days at Home After Hospital Discharge of Patients with Heart Failure
Socioeconomic Disadvantage and Days at Home After Hospital Discharge of Patients with Heart Failure
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DOI：
10.1016/j.amjcard.2018.04.051
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发表时间：
2018-08-15
影响因子：
2.8
通讯作者：
Marwick, Thomas H.
中科院分区：
文献类型：
--
作者：
Huynh, Quan;Venn, Alison J.;Marwick, Thomas H.
心力衰竭(HF)再入院的风险可以通过疾病管理计划来降低，但这些计划的资源密集型性质需要针对最大的需求。由于社会经济地位(SES)与其他健康结果相关，我们研究了SES的区域标记物是否与出院后在家(活着和出院)的天数有关。这项研究使用了1,391名心力衰竭患者的全州数据，这些患者在2009至2012年间首次进入澳大利亚塔斯马尼亚的一家公立医院。对住宅SES的测量包括四个指数和一个由澳大利亚统计局编制的偏远指数。主要结果是在家里呆了几天。次要结果包括30天和90天的再入院或死亡、再入院的次数和首次再入院的天数。我们的心衰患者在家中的中位数为352天[四分位数范围为167,361]。所有四个SES指数和偏远指数(p
The risk of heart failure (HF) readmission may be reduced by disease management programs, but the resource-intensive nature of these requires targeting to the greatest need. As socioeconomic status (SES) is related to other health outcomes, we sought whether regional markers of SES were associated with days at home (alive and out of hospital) after discharge. This study used statewide data of 1,391 HF patients who had their first ever HF admission to a public hospital in Tasmania (Australia) during 2009 to 2012. Measurements of residential SES included four indexes and a remoteness index generated by the Australian Bureau of Statistics. The primary outcome was days at home. Secondary outcomes included 30- and 90-day readmission or death, number of readmissions, and days to first readmission. Our HF patients had a median of 352 days at home [interquartile range 167, 361]. All four SES indexes and the remoteness index (p