Abstract

Heart Failure remains a complex clinical syndrome that affects all races and backgrounds. Periodically individuals with a heart failure diagnosis will require hospitalization during the course of the disease progression. Consequently, early and repeated rehospitalizations for acute exacerbations presents additional social and economic difficulties. Prior research demonstrated that elderly African-American and Caucasian women account for a large proportion of the population at risk for future heart failure hospitalizations along with readmissions within 60 days of discharge. Unfortunately, the literature remains unpredictable or largely non-existent regarding the unique associations between risk predictors for heart failure and early (31 to 60-day) heart failure rehospitalization in these two groups of women. Improved understanding of the predictors that influence avoidable early heart failure rehospitalization may engender strategies to reduce readmissions in these at-risk populations.

Using a risk factor model for heart failure rehospitalization as a conceptual framework, this research determined if certain social, hemodynamic and comorbid risk factors associated with elderly African-American and Caucasian women HF patients influenced hospital readmission within 31 to 60-day of discharge.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 13861724; ProQuest document ID: 2240083674. The author still retains copyright.

Author Details

Carolyn B. Sue-Ling, PhD, MPA, RN

Sigma Membership

Phi Lambda

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

African-American Women, Caucasian Women, Hospital Readmissions, Heart Failure, Reduced Ejection Fraction

Advisor

Nalini Jairath

Second Advisor

Nancy Steffan

Third Advisor

Arthur B. Chandler

Degree

PhD

Degree Grantor

The Catholic University of America

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-04-14

Full Text of Presentation

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