Developing 60-Day Readmission Risk Score among Home Healthcare Patients with Heart Failure.
Developing 60-Day Readmission Risk Score among Home Healthcare Patients with Heart Failure.
复制标题
制定家庭保健心力衰竭患者 60 天再入院风险评分。
DOI：
10.1097/nhh.0000000000001226
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发表时间：
2024
影响因子：
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通讯作者：
Horne,BenjaminD
中科院分区：
文献类型：
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作者：
Kang,Youjeong;Stoddard,Greg;Stehlik,Josef;Stephens,Caroline;Facelli,Julio;Gouripeddi,Ram;Horne,BenjaminD
心力衰竭（HF）再入院是常见的，昂贵的，而且通常是可以预防的。尽管在临床环境中实施了HF计划，但再住院仍然很常见。目前正在努力确定HF患者60天再住院的风险因素，但风险评分尚未用于家庭医疗保健。本研究的目的是为家庭护理HF患者制定60天再住院风险评分。本研究是回顾性横断面数据集的次要数据分析，该数据集由使用结局评估信息集（OASIS）-C版HF患者的数据组成。我们计算了Charlson合并症指数（CCI）作为混杂因素。根据最终逻辑回归模型回归系数计算风险评分。中位年龄为78岁，45.4%为男性，81.0%为白色。我们确定了包括CCI评分在内的10个显著危险因素。在该患者样本中，风险评分达到0.70的c-统计量。该风险评分在临床实践中可能被证明是有用的，用于指导对未被识别或治疗不足的健康需求患者的个性化护理的关注和决策。
Heart failure (HF) readmissions are common, costly, and often preventable. Despite the implementation of HF programs across clinical settings, rehospitalization is still common. Efforts to identify risk factors for 60-day rehospitalization among HF patients exist, but risk scoring has not been utilized in home healthcare. The purpose of this study was to develop a 60-day rehospitalization risk score for home care patients with HF. This study is a secondary data analysis of a retrospective cross-sectional dataset that was composed of data using the Outcome Assessment Information Set (OASIS)-C version for patients with HF. We computed the Charlson Comorbidity Index (CCI) to use as a confounder. The risk score was computed from the final logistic regression model regression coefficients. The median age was 78 years old, 45.4% were male, and 81.0% were White. We identified 10 significant risk factors including CCI score. The risk score achieved a c-statistic of 0.70 in this patient sample. This risk score could prove useful in clinical practice for guiding attention and decision-making for personalized care of patients with unrecognized or under-treated health needs.