Resource utilisation, charges and mortality following hospital inpatient admission for congestive heart failure among the elderly in the US

Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients. Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia. Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test. Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.

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In-Hospital Mortality in Hospitalized Patients with Congestive Heart Failure in Relation to Serum Potassium Levels in the US: National Inpatient Sample Analysis

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2017.07.024 ◽

2017 ◽

Vol 23 (8) ◽

pp. S10-S11

Author(s):

Sijan Basnet ◽

Dilli R. Poudel ◽

Sushil Ghimire ◽

Biswaraj Tharu ◽

Rashmi Dhital

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Hospital Mortality ◽

Serum Potassium ◽

Hospitalized Patients ◽

National Inpatient Sample ◽

Sample Analysis ◽

The Us

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Patient engagement with digital disease management and readmission rates: The case of congestive heart failure

Health Informatics Journal ◽

10.1177/14604582211030959 ◽

2021 ◽

Vol 27 (3) ◽

pp. 146045822110309

Author(s):

Rudin Gjeka ◽

Kirit Patel ◽

Chandra Reddy ◽

Nora Zetsche

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Disease Management ◽

Readmission Rate ◽

Hospital Readmissions ◽

The Elderly ◽

Readmission Rates ◽

Management Platform ◽

High Readmission Rate ◽

Remote Patient

Congestive heart failure (CHF) is one of the most common diagnoses in the elderly United States Medicare (⩾ age 65) population. This patient population has a particularly high readmission rate, with one estimate of the 6-month readmission rate topping 40%. The rapid rise of mobile health (mHealth) presents a promising new pathway for reducing hospital readmissions of CHF, and, more generally, the management of chronic conditions. Using a randomized research design and a multivariate regression model, we evaluated the effectiveness of a hybrid mHealth model—the integration of remote patient monitoring with an applied health technology and digital disease management platform—on 45-day hospital readmissions for patients diagnosed with CHF. We find a 78% decrease in the likelihood of CHF hospital readmission for patients who were assigned to the digital disease management platform as compared to patients assigned to control.

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CASE REPORT: UNCONTROLLED HYPERTENSION CONTRIBUTES TO WORSENING OF PRESBYCUS SYMPTOMS IN THE ELDERLY

Journal of Community Medicine and Public Health Research ◽

10.20473/jcmphr.v1i1.20298 ◽

2020 ◽

Vol 1 (1) ◽

pp. 33

Author(s):

Faradila Budi Saputri ◽

Azizah Amimathul Firdha ◽

Safira Rahma ◽

Rieza Rizqy Alda ◽

Syahwina Inayasari ◽

...

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Hearing Loss ◽

Case Report ◽

Hearing Aids ◽

Social Life ◽

Elderly Population ◽

The Elderly ◽

Uncontrolled Hypertension ◽

Age Related

Presbycusis is a disease that can befall the elderly, caused by a multifactorial process that should be allowed to disrupt communication and social life and cause mental disorders. According to WHO the proportion of the elderly population rises rapidly which is estimated in 2025, there are about 1,2 billion elderly people with a risk of presbycusis. Mr.S was 84 years old, married and had 2 children, complained of hearing loss since 10 years ago on the patient's left ear. The decline in hearing occurred gradually, giving the last 4 years after his wife's death. Patients was taken to Otorhinolaryngologist and expressed age-related hearing impairment and was advised to use hearing aids. Patients are not routinely using hearing aids. In addition, patients have hypertension and heart disease. Patients consumed Captopril 2x1 tablets, Fundifar 2x1, Furosemide 1x40 mg and Fargoxin 1x0.25 mg. Patients do not routinely consumed cardiac medicine and used hearing aids. From the results of heteroanamnesis, physical examination, and audiogram examination conducted in Mr.S patients, it can be concluded that Mr.S suffers from presbycusis with hypertensive and congestive heart failure. Mr.S was advised to routinely have their hearing check to Otorhinolaryngologist the as an evaluation and routine control to Cardiologist.

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Moving From Heart Failure Guidelines to Clinical Practice: Gaps Contributing to Readmissions in Patients With Multiple Comorbidities and Older Age

Clinical Medicine Insights Cardiology ◽

10.1177/1179546818809358 ◽

2018 ◽

Vol 12 ◽

pp. 117954681880935 ◽

Cited By ~ 8

Author(s):

Pupalan Iyngkaran ◽

Danny Liew ◽

Christopher Neil ◽

Andrea Driscoll ◽

Thomas H Marwick ◽

...

Keyword(s):

Heart Failure ◽

New York ◽

Congestive Heart Failure ◽

Heart Association ◽

Multidisciplinary Care ◽

The Elderly ◽

Tertiary Hospital ◽

Chronic Obstructive ◽

Common Denominator ◽

Chronic Renal Impairment

This feature article for the thematic series on congestive heart failure (CHF) readmissions aims to outline important gaps in guidelines for patients with multiple comorbidities and the elderly. Congestive heart failure diagnosis manifests as a 3-phase journey between the hospital and community, during acute, chronic stable, and end-of-life (palliative) phases. This journey requires in variable intensities a combination of multidisciplinary care within tertiary hospital or ambulatory care from hospital outpatients or primary health services, within the general community. Management goals are uniform, ie, to achieve the lowest New York Heart Association class possible, with improvement in ejection fraction, by delivering gold standard therapies within a CHF program. Comorbidities are an important common denominator that influences outcomes. Comorbidities include diabetes mellitus, chronic obstructive airways disease, chronic renal impairment, hypertension, obesity, sleep apnea, and advancing age. Geriatric care includes the latter as well as syndromes such as frailty, falls, incontinence, and confusion. Many systems still fail to comprehensively achieve all aspects of such programs. This review explores these factors.

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