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Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts
Betihavas, Vasiliki Newton, Phillip Frost, Shaun Alexandrou, Evan Macdonald, Peter Davidson, Patricia
Betihavas, Vasiliki
Newton, Phillip
Frost, Shaun
Alexandrou, Evan
Macdonald, Peter
Davidson, Patricia
Abstract
Aims: We investigated the opinion of clinical experts and researchers involved in chronic heart failure disease man-
agement regarding the ranking of patient, provider and system factors that predict the risk of rehospitalisation.
Methods: Item generation for the online survey was informed by a literature review and current risk prediction models.
Consultation with experts was undertaken via a secure online survey platform. Invitations to participate in the 10 question
online survey were sent through Listserves of professional nursing and medical associations within Australia and New
Zealand.
Results: Data were collected in August 2011. A total of 119 respondents completed the survey. Respondents ranged
from researchers, registered nurses, cardiologists and allied health personnel. A mean importance score was used to rank
risk factors for rehospitalisation. Risk factors that scored high for predicting the risk for rehospitalisation included poor
adherence to medications (9.04) and prior hospitalisation for heart failure (8.33). Having private health insurance (4.8)
and being female (4.9) scored lower in influencing rehospitalisation for adults with heart failure.
Conclusions: No new risk factors were identified from the experts in predicting the risk of rehospitalisation. The survey
results will contribute to the development of a nomogram to convey prognostic information related to adults with heart
failure that will guide clinicians in management decisions.
Keywords
Expert opinion, Heart failure, Hospital readmission, Risk factor
Date
2013
Type
Journal article
Journal
Book
Volume
22
Issue
3
Page Range
179-183
Article Number
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled
Notes
© 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.