KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Factors Associated With All-Cause Rehospitalization and Mortality in Patients with Heart Failure

    Thumbnail
    View/Open
    Walters_ku_0099D_14874_DATA_1.pdf (1.533Mb)
    Issue Date
    2016-08-31
    Author
    Walters, Mary Renee
    Publisher
    University of Kansas
    Format
    99 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Nursing
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    Abstract Background and Significance: Heart failure is diagnosed in over 5.7 million Americans. Despite substantial scientific advancements in the field of heart failure management this disease continues to be a primary cause of death in 50,000 patients and noted in the death findings of an additional 250,000 individuals annually. Over 6.5 million hospital days and over 668,000 emergency room visits. Depression is prevalent in over 20% of HF patients and in 45% of HF patients following an acute exacerbation of their disease. Purposes: To explore the effect of reactive depression on all-cause rehospitalization and all-cause mortality in NYHA Class III and IV patients during the 12 month following an index hospitalization for HF exacerbation. The study aims were: (a) describe the effect of depression, (b) explain the variance of depression, and (c) determine the moderator effect of depression on patient preparedness to manage complex HF home care all-cause rehospitalization and/or all-cause mortality in HF patients. Theoretical Framework: The Chronic Care Management Theory will guide the study. Methods: Secondary Data Analysis of data obtained from the longitudinal NIH funded SMAC-HF trial. Data Analysis: Descriptive statistics, logistic regression, and multiple linear regression analyses with and with/out interaction effects were performed to address the study purpose and aims. Findings: Descriptive statistics, logistic regression, and multiple linear regression analyses with and with/out interaction effects were performed to address the study purpose and aims. Discussion/Conclusion: Depression as measured by CES-D score greater than 16 has a significant relationship with all-cause rehospitalization p=.09 and all-cause rehospitalization and mortality p=.09. In this study, depression did not demonstrate a relationship with mortality alone. In addition, depression did not have an interaction effect between preparedness and all-cause rehospitalization and/or mortality. Screening for depression should be part of heart failure management. Management of depression may decrease rehospitalization in HF patients.
    URI
    http://hdl.handle.net/1808/22507
    Collections
    • Dissertations [4050]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps