Characteristics of Heart Failure (HF) Patients Admitted to a Single Hospital in Thailand (January 1, 2008 Through December 31, 2010)

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Hdl Handle:
http://hdl.handle.net/10755/304268
Category:
Abstract
Type:
Presentation
Title:
Characteristics of Heart Failure (HF) Patients Admitted to a Single Hospital in Thailand (January 1, 2008 Through December 31, 2010)
Author(s):
Pitakwong, Pawilai
Lead Author STTI Affiliation:
Non-member
Author Details:
Pawilai Pitakwong, MSN, RN, pitakp@umich.edu
Abstract:

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose: 1) Identify the characteristics of Heart Failure (HF) patients in Thailand who were admitted to the hospital;2) Determine if there was a relationship between individual patient characteristics and 30 day readmission rates for HF patients in Thailand.

Methods: All adult HF patients hospitalized at a hospital with a primary diagnosis of HF (ICD 9 code 428) upon discharge were recruited. The initial database of HF patients admitted and discharged included 1,100 medical records. Of those records, 540 met the study criteria including both male and female adults, aged 18 years and older with a primary discharge diagnosis of HF.A total of 24 variables were extracted from the HF database including patient demographics, 30 day readmission rates, and co-morbidities. Data was analyzed using Microsoft Excel and SPSS 19.The research questions was analyzed using descriptive statistics, Chi-square testing and logistic regression analyses. 

Results: 70.7% of patients (n = 382) were > 65 years. Males represented 58.2% (n = 314) of the sample, and the majority of patients were married 68.9% (n = 372) and resided with their spouse and/or family 90.3% (n = 488).The mean hospital LOS was 10.4 days. The hospital readmission rate was 19% (n = 103). Myocardial Infarction (MI) was the most common comorbidity 24.8% (n = 134). HF patients 67 years and older (n = 103, r = 99.8, p = .009) and HF female patients (χ2 (1), n = 103) = 5.849, p = .016) were more likely to be readmitted with HF. 

Conclusion: Study findings may provide a better understanding of strategies that need to be used in planning and developing more effective interventions to improve clinical outcomes among HF patients.These findings should also drive future research questions that further evaluate the relationship between the influence of gender, select comorbidities, and health insurance coverage upon re-hospitalization in the HF population.

Keywords:
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Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCharacteristics of Heart Failure (HF) Patients Admitted to a Single Hospital in Thailand (January 1, 2008 Through December 31, 2010)en_GB
dc.contributor.authorPitakwong, Pawilaien_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsPawilai Pitakwong, MSN, RN, pitakp@umich.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304268-
dc.description.abstract<p>Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013</p><b>Purpose: </b>1) Identify the characteristics of Heart Failure (HF) patients in Thailand who were admitted to the hospital;2) Determine if there was a relationship between individual patient characteristics and 30 day readmission rates for HF patients in Thailand. <p><b>Methods: </b>All adult HF patients hospitalized at a hospital with a primary diagnosis of HF (ICD 9 code 428) upon discharge were recruited. The initial database of HF patients admitted and discharged included 1,100 medical records. Of those records, 540 met the study criteria including both male and female adults, aged 18 years and older with a primary discharge diagnosis of HF.A total of 24 variables were extracted from the HF database including patient demographics, 30 day readmission rates, and co-morbidities. Data was analyzed using Microsoft Excel and SPSS 19.The research questions was analyzed using descriptive statistics, Chi-square testing and logistic regression analyses.  <p><b>Results: </b>70.7% of patients (n = 382) were > 65 years. Males represented 58.2% (n = 314) of the sample, and the majority of patients were married 68.9% (n = 372) and resided with their spouse and/or family 90.3% (n = 488).The mean hospital LOS was 10.4 days. The hospital readmission rate was 19% (n = 103). Myocardial Infarction (MI) was the most common comorbidity 24.8% (n = 134). HF patients 67 years and older (n = 103, <i>r </i>= 99.8, <i>p </i>= .009) and HF female patients (χ2 (1), n = 103) = 5.849, <i>p </i>= .016) were more likely to be readmitted with HF.  <p><b>Conclusion: </b>Study findings may provide a better understanding of strategies that need to be used in planning and developing more effective interventions to improve clinical outcomes among HF patients.These findings should also drive future research questions that further evaluate the relationship between the influence of gender, select comorbidities, and health insurance coverage upon re-hospitalization in the HF population.en_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.date.available2013-10-22T20:32:27Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:32:27Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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