May 15, 2012

Association of comorbidities with home care service utilization of patients with heart failure while receiving telehealth

The Journal of Cardiovascular Nursing
Kavita RadhakrishnanK Bowles


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

  • References16
  • Citations4


  • References16
  • Citations4


Mentioned in this Paper

Home Care of Patient
Kidney Failure
TCAP gene
Logistic Regression
Renal Insufficiency
Health Care Seeking Behavior
Multivariate Analysis
Regression Analysis

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