دورية أكاديمية
The impact of cultural and linguistic diversity on hospital readmission in patients hospitalized with acute heart failure.
| العنوان: | The impact of cultural and linguistic diversity on hospital readmission in patients hospitalized with acute heart failure. |
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| المؤلفون: | Seman M; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia., Karanatsios B; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Surgery, Western Health, The University of Melbourne, Melbourne, Australia., Simons K; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia., Falls R; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia., Tan N; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia., Wong C; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia., Barrington-Brown C; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia., Cox N; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia., Neil CJ; Western Centre for Health Research and Education, Western Health, Sunshine Hospital, Furlong Road, St. Albans, Melbourne 3021, Australia.; Department of Medicine, Western Health, The University of Melbourne, Melbourne, Australia. |
| المصدر: | European heart journal. Quality of care & clinical outcomes [Eur Heart J Qual Care Clin Outcomes] 2020 Apr 01; Vol. 6 (2), pp. 121-129. |
| نوع المنشور: | Comparative Study; Journal Article; Multicenter Study; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101677796 Publication Model: Print Cited Medium: Internet ISSN: 2058-1742 (Electronic) Linking ISSN: 20581742 NLM ISO Abbreviation: Eur Heart J Qual Care Clin Outcomes Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Oxford University Press, [2015]- |
| مواضيع طبية MeSH: | Cultural Diversity* , Inpatients*, Heart Failure/*epidemiology , Hospitals/*statistics & numerical data , Patient Readmission/*statistics & numerical data, Acute Disease ; Aged ; Aged, 80 and over ; Australia/epidemiology ; Female ; Follow-Up Studies ; Heart Failure/psychology ; Humans ; Incidence ; Male ; Middle Aged ; Retrospective Studies |
| مستخلص: | Aims: Health services worldwide face the challenge of providing care for increasingly culturally and linguistically diverse (CALD) populations. The aims of this study were to determine whether CALD patients hospitalized with acute heart failure (HF) are at increased risk of rehospitalization and emergency department (ED) visitation after discharge, compared to non-CALD patients, and within CALD patients to ascertain the impact of limited English proficiency (LEP) on outcomes. Methods and Results: A cohort of 1613 patients discharged from hospital following an episode of acute HF was derived from hospital administrative datasets. CALD status was based on both country of birth and primary spoken language. Comorbidities, HF subtype, age, sex and socioeconomic status, and hospital readmission and ED visitation incidences, were compared between groups. A Cox proportional hazard model was employed to adjust for potential confounders. The majority of patients were classified as CALD [1030 (64%)]. Of these, 488 (30%) were designated as English proficient (CALD-EP) and 542 (34%) were designated CALD-LEP. Compared to non-CALD, CALD-LEP patients exhibited a greater cumulative incidence of HF-related readmission and ED visitation, as expressed by an adjusted hazard ratio (HR) [1.27 (1.02-1.57) and 1.40 (1.18-1.67), respectively]; this difference was not significant for all-cause readmission [adjusted HR 1.03 (0.88-1.20)]. CALD-EP showed a non-significant trend towards increased rehospitalization and ED visitation. Conclusion: This study suggests that CALD patients with HF, in particular those designated as CALD-LEP, have an increased risk of HF rehospitalization and ED visitation. Further research to elucidate the underlying reasons for this disparity are warranted. (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2019. For permissions, please email: journals.permissions@oup.com.) |
| فهرسة مساهمة: | Keywords: Acute heart failure; Cultural and linguistic diversity; Heart failure; Limited English proficiency; Rehospitalization |
| تواريخ الأحداث: | Date Created: 20190724 Date Completed: 20210414 Latest Revision: 20210414 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1093/ehjqcco/qcz034 |
| PMID: | 31332442 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2058-1742 |
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| DOI: | 10.1093/ehjqcco/qcz034 |