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Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program
Joint Authors
Nieves, Regina
Zai, Adrian H.
Kvedar, Joseph C.
Jethwani, Kamal
Chueh, Henry C.
Ronquillo, Jeremiah G.
Source
International Journal of Telemedicine and Applications
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
The purpose of this study was to validate a previously developed heart failure readmission predictive algorithm based on psychosocial factors, develop a new model based on patient-reported symptoms from a telemonitoring program, and assess the impact of weight fluctuations and other factors on hospital readmission.
Clinical, demographic, and telemonitoring data was collected from 100 patients enrolled in the Partners Connected Cardiac Care Program between July 2008 and November 2011.
38% of study participants were readmitted to the hospital within 30 days.
Ten different heart-failure-related symptoms were reported 17,389 times, with the top three contributing approximately 50% of the volume.
The psychosocial readmission model yielded an AUC of 0.67, along with sensitivity 0.87, specificity 0.32, positive predictive value 0.44, and negative predictive value 0.8 at a cutoff value of 0.30.
In summary, hospital readmission models based on psychosocial characteristics, standardized changes in weight, or patient-reported symptoms can be developed and validated in heart failure patients participating in an institutional telemonitoring program.
However, more robust models will need to be developed that use a comprehensive set of factors in order to have a significant impact on population health.
American Psychological Association (APA)
Zai, Adrian H.& Ronquillo, Jeremiah G.& Nieves, Regina& Chueh, Henry C.& Kvedar, Joseph C.& Jethwani, Kamal. 2013. Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program. International Journal of Telemedicine and Applications،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-461985
Modern Language Association (MLA)
Zai, Adrian H.…[et al.]. Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program. International Journal of Telemedicine and Applications No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-461985
American Medical Association (AMA)
Zai, Adrian H.& Ronquillo, Jeremiah G.& Nieves, Regina& Chueh, Henry C.& Kvedar, Joseph C.& Jethwani, Kamal. Assessing Hospital Readmission Risk Factors in Heart Failure Patients Enrolled in a Telemonitoring Program. International Journal of Telemedicine and Applications. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-461985
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461985