Abstract
Comorbidities adversely impact heart failure (HF) outcomes. Telehealth can assist healthcare providers, especially nurses, in guiding their patients to follow the HF regimen. However, factors, including comorbidity patterns, that act in combination with telehealth to reduce home care nursing utilization are still unclear. The purpose of this article was to examine the association of the comorbidity characteristics of HF patients with nursing utilization along with withdrawal from telehealth service during an episode of tele-home care. A descriptive, correlational study design using retrospective chart review was used. The sample comprised Medicare patients admitted to a New England home care agency who had HF as a diagnosis and had used telehealth from 2008 to 2010. The electronic documentation at the home care agency served as the data source, which included Outcome and Assessment Information Set data of patients with HF. Logistic and multiple regression analyses were used to analyze data. The sample consisted of 403 participants, of whom 70% were older than 75 years, 55% were female, and 94% were white. Comorbidities averaged 5.19 (SD, 1.92), ranging from 1 to 11, and nearly 40% of the participants had 5 or more comorbidities...Continue Reading
References
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Jun 8, 2000·The Journal of Clinical Endocrinology and Metabolism·F M BengelM Schwaiger
Aug 28, 2002·Archives of Internal Medicine·Mark SullivanJoan Russo
Jan 23, 2003·Circulation·Justin A EzekowitzPaul W Armstrong
Mar 27, 2003·Journal of the American Geriatrics Society·James X ZhangMarshall H Chin
May 17, 2003·Home Health Care Services Quarterly·Anthony F JerantThomas S Nesbitt
Jun 12, 2003·Journal of the American College of Cardiology·Dariush MozaffarianWayne C Levy
Sep 5, 2003·Psychosomatics·George FulopGlen Stettin
Feb 11, 2004·Circulation·Finlay A McAlisterPaul W Armstrong
Apr 17, 2004·Journal of the American Geriatrics Society·Mary D NaylorJ Sanford Schwartz
May 29, 2004·Medical Care·Seth HimelhochLisa A Cooper
Jun 11, 2004·The American Journal of Hospice & Palliative Care·Pamela WhittenMichael Mackert
Dec 31, 2008·The Journal of Cardiovascular Nursing·Karen N Schnell-HoehnRobert B Tate
Apr 25, 2009·The Journal of Cardiovascular Nursing·Louise M LaFramboiseBernice C Yates
Jul 11, 2009·Journal of Telemedicine and Telecare·Elaine BiddissMark S Hawley
Sep 17, 2009·Heart & Lung : the Journal of Critical Care·Coby AnnemaTiny Jaarsma
Oct 10, 2009·Journal of Telemedicine and Telecare·Kathryn H BowlesDavid A Horowitz
Oct 13, 2009·Fundamental & Clinical Pharmacology·Massimo VolpeFrancesco Paneni
Oct 17, 2009·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stuti DangGeetanjali Kelkar
Oct 24, 2009·Journal of the American College of Cardiology·Catherine KlersyAngelo Auricchio
Nov 26, 2009·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kathryn Dansky, Joseph Vasey
Jul 28, 2010·Circulation·Anthony Martin Gerdes, Giorgio Iervasi
Sep 30, 2010·Journal of Gerontological Nursing·Cynthia S JacelonLinda C Donoghue
Feb 8, 2011·The American Journal of Medicine·Catherine Y WongHarlan M Krumholz
Mar 11, 2011·Mayo Clinic Proceedings·Shannon M DunlayVéronique L Roger
Apr 8, 2011·British Journal of Nursing : BJN·Claire A RushtonUmesh T Kadam
May 10, 2011·Journal of Cardiac Failure·Victoria Vaughan DicksonBarbara Riegel
May 26, 2011·Congestive Heart Failure·George MarzoukaKathy Hebert
Citations
Jul 3, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kavita RadhakrishnanJesse Chittams
May 27, 2014·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Namkee G ChoiG John Chen
Jun 30, 2015·Health Services Research·Kavita RadhakrishnanMiyong Kim
Jan 24, 2014·Applied Clinical Informatics·K RadhakrishnaA Zettek-Sumner
Nov 30, 2018·Home Health Care Services Quarterly·Kyungmi WooDawn W Dowding
Apr 7, 2021·Geriatric Nursing·Jie ChenXiaomei Cong
Jul 22, 2021·Home Health Care Services Quarterly·Gustavo SaposnikPedro Saposnik
Aug 15, 2021·Journal of Pain and Symptom Management·Daniel DavidAbraham A Brody