2.50
Hdl Handle:
http://hdl.handle.net/10755/161763
Type:
Presentation
Title:
Discharge outcomes related to homecare of patients with COPD
Abstract:
Discharge outcomes related to homecare of patients with COPD
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2001
Author:Narsavage, Georgia, PhD
P.I. Institution Name:Case Western Reserve University
Title:Associate Professor
Contact Address:Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216.368.6304
Using the Hospital Readmission Inventory (Anderson, 1996;13: 1-12)medical records were reviewed for 113 adults with COPD who had participated in a home care nursing (HCN) study following discharge from five community hospitals. Record review determined length of stay for index hospitalization (HOSLOS),LOS at home until readmission, and ER visits. The sample was 56% female; mean 73.3 + 9 years, FEV1 0.94 + 0.5 L.; 80% received HCN. For 8%, the index hospitalization was the first recorded hospital admission. Age, gender, dyspnea, physiological status, index HOSLOS, and ER visits were not significantly different between groups who did and did not receive home care. Bathing, dressing, and walking deficits were significantly correlated with rehospitalization within 3 months (P<.05), as was decreased social functioning (P<.01). As expected there was more comorbidity in those who had received home care (P=0.006). There was a significantly longer length of stay at home before rehospitalization for subjects who received home care nursing (mean: 122 days) than for those who did not (mean: 75 days). Although the "no home care" group had similar characteristics and less comorbidity upon discharge, they were rehospitalized sooner. Future research should examine components of home care related to delayed rehospitalizations.















Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDischarge outcomes related to homecare of patients with COPDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161763-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Discharge outcomes related to homecare of patients with COPD</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Narsavage, Georgia, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216.368.6304</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gln2@po.cwru.edu</td></tr><tr><td colspan="2" class="item-abstract">Using the Hospital Readmission Inventory (Anderson, 1996;13: 1-12)medical records were reviewed for 113 adults with COPD who had participated in a home care nursing (HCN) study following discharge from five community hospitals. Record review determined length of stay for index hospitalization (HOSLOS),LOS at home until readmission, and ER visits. The sample was 56% female; mean 73.3 + 9 years, FEV1 0.94 + 0.5 L.; 80% received HCN. For 8%, the index hospitalization was the first recorded hospital admission. Age, gender, dyspnea, physiological status, index HOSLOS, and ER visits were not significantly different between groups who did and did not receive home care. Bathing, dressing, and walking deficits were significantly correlated with rehospitalization within 3 months (P&lt;.05), as was decreased social functioning (P&lt;.01). As expected there was more comorbidity in those who had received home care (P=0.006). There was a significantly longer length of stay at home before rehospitalization for subjects who received home care nursing (mean: 122 days) than for those who did not (mean: 75 days). Although the &quot;no home care&quot; group had similar characteristics and less comorbidity upon discharge, they were rehospitalized sooner. Future research should examine components of home care related to delayed rehospitalizations.<br/><br/> <br/><br/> <br/><br/> <br/><br/> <br/><br/> <br/><br/> <br/><br/> <br/><br/> </td></tr></table>en_GB
dc.date.available2011-10-26T23:26:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:26:57Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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