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dc.contributor.advisorAbbott, Amyen_US
dc.contributor.authorSmith, Marken_US
dc.contributor.authorAbbott, Amyen_US
dc.date.accessioned2014-01-30T17:24:50Z
dc.date.available2014-08-16T13:40:22Z
dc.date.issued2014-01-30
dc.identifier.urihttp://hdl.handle.net/10504/48338
dc.description.abstractObjective: The purposes of this study were to: a.) determine differences in demographic, socioeconomic, and clinical variables of adult patients with heart failure that attend follow-up and those who do not and to: b.) to explore the association of the post-discharge follow-up visit components (e.g. the timing of the visit and provider type) with 30-day readmission.|Background: Timely follow-up after heart failure hospitalization is an intervention associated with a reduction in 30-day readmission and can improve patient safety; however published studies have shown that the rate of follow-up is low. Research findings describing characteristics of patients at-risk for not attending follow-up and how components of the visit affect 30-day readmissions are limited.|Methods: A retrospective chart review of heart failure patients discharged between June 1, 2011 and February 1, 2013 was completed at an urban mid-western acute care hospital.|Results: Eighty-five percent of patients (n=68) attended the scheduled follow-up visit. Statistically significant differences were found between the number of outpatient visits in year previous to admission (p= 0.042) and hemoglobin values at admission (p= 0.04) between patients that attended follow-up and those that did not. No statistically significant differences were found between patients that attended follow-up within 3 days, 4-7 days, or 8 or more days and 30-day readmission (p=1.000) or between patients who attended follow-up and were treated by a cardiologist vs. those treated by a primary care provider (p=0.103).|Conclusion: Follow-up after heart failure hospitalization remains an important component of care. Interventional studies that facilitate post-discharge follow-up and employ strategies to reduce 30-day readmission need to continue.en_US
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton Universityen_US
dc.subject.meshHeart Failureen_US
dc.subject.meshPatient Readmissionen_US
dc.subject.meshPatient Dischargeen_US
dc.subject.meshAftercareen_US
dc.titleFollow-Up after Heart Failure Hospitalization: Attendance and Effects of Timing and Provider Type on Readmission Ratesen_US
dc.title.alternativeHeart Failure Follow-Upen_US
dc.typeManuscripten_US
dc.rights.holderMark Smithen_US
dc.description.noteManuscripten_US
dc.embargo.terms2014-08-16
dc.degree.levelDNPen_US
dc.degree.disciplineDoctor of Nursing Practice (DNP) Programen_US
dc.degree.nameDoctor of Nursing Practiceen_US
dc.degree.committeeParsons, Maryen_US
dc.degree.committeeRubarth, Lorien_US


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