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May 22, 2014Journal of the American Heart Association55 citationsOpen Access

Self‐Rated Health Predicts Healthcare Utilization in Heart Failure

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Why the study?

Does low self-rated health predict increased healthcare utilization in patients with heart failure?

Population

417 heart failure patients from a community cohort in Olmsted County, MN, prospectively enrolled between…

Comparison

Low self-reported physical functioning and… vs Moderate-high self-reported physical functioning…

Design

Cohort

Follow-up

2 years

Key result

Low self-reported physical functioning in heart failure patients was associated with an increased risk of hospitalizations (1.52; 95% CI 1.17-1.99) and ED visits over 2 years.

Authors

ACAlanna M. ChamberlainSMSheila M. ManemannSDShannon M. Dunlay

Discussion

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Overview

May support risk stratification in community HF; extends observational data but leaves open whether targeting function reduces utilization.

Study Design

Type

Cohort (n=417)

Structured PICO

Does low self-rated health predict increased healthcare utilization in patients with heart failure?

P
Population
417 heart failure patients from a community cohort in Olmsted County, MN, followed for 2 years.
E
Exposure
Low self-reported physical functioning (score ≤ 25 on the SF-12 physical component) and poor/fair self-rated general health (first question of the SF-12).
C
Comparator
Moderate-high self-reported physical functioning and good-excellent self-rated general health.
O
Outcome
Healthcare utilization (hospitalizations, emergency department visits, outpatient office visits) and skilled nursing facility (SNF) admission after 2 years.hard clinical

Self-reported measures of physical functioning and general health are significant predictors of future hospitalizations and emergency department visits in community heart failure patients, highlighting their potential utility in risk stratification.

Main Result

Effect estimate: 1.52 (95% CI 1.17-1.99)

Cite This Study

Chamberlain et al. (2014) conducted a cohort in Heart failure (n=417). Low self-reported physical functioning vs. Moderate-high self-reported physical functioning was evaluated on Hospitalizations (1.52, 95% CI 1.17-1.99). Low self-reported physical functioning in heart failure patients was associated with an increased risk of hospitalizations (1.52; 95% CI 1.17-1.99) and ED visits over 2 years.

synapsesocial.com/papers/6a8433da9cea0905630b9977https://doi.org/10.1161/jaha.114.000931
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