Home care utilization and outcomes among Asian and other Canadian patients with heart failure

BMC Cardiovascular Disorders

Research Article

Brenda R Hemmelgarn¹  Guanmin Chen²  Kathryn M King²  Hude Quan²  Nadia Khan³ 

[1] Department of Community Health Sciences, University of Calgary, Canada;Department of Medicine, University of Calgary, Canada;Department of Community Health Sciences, University of Calgary, Canada;The Center for Health and Policy Studies, University of Calgary, Canada;The Center for Health Evaluation and Outcome Sciences, University of British Columbia, Canada;

关键词: Home Care;    Heart Failure Patient;    Asian Patient;    Annual Household Income;    Filial Piety;   

DOI  :  10.1186/1471-2261-10-12

 received in 2009-09-09, accepted in 2010-03-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundHeart failure (HF) is a major cause of hospitalization and death in the aging population around the world. Home care utilization is associated with improved survival for the patients with HF, and varies by ethno-culture. The purpose of this study was to investigate the difference in hospital readmission rate and mortality between Asian and other Canadian HF patients.MethodsHF patients were identified using hospital discharge abstracts from March 31, 2000 to April 1, 2006 in Calgary Health Region. Readmission and one-year mortality for HF were determined by linking hospital discharge and vital statistics data. Stratified by home care services use, readmission and mortality rates were compared between the Asians and other Canadians while controlling for age, sex, comorbidities, and household income.ResultsOf 26,171 HF patients discharged from hospital, 56.6% of Asians and 58.0% of other Canadians used home care services [adjusted odds ratio (OR) for Asian: 0.84, 95% confidence interval (CI): 0.74-0.89]. The hospital readmission rate was similar between Asians and other Canadians regardless of home care services use. Mortality was similar between those who used home care services (adjusted OR for Asian: 0.96, 95% CI: 0.81-1.13). For patients who did not use home care services, Asians had significantly lower mortality than other Canadians (adjusted OR for Asian: 0.76, 95% CI: 0.60-0.86).ConclusionMortality was similar between Asian and other Canadian patients when home care services were utilized. However, among those without home care, Asian patients had a significantly lower mortality than other Canadian patients.

【 授权许可】

CC BY   
© Chen et al; licensee BioMed Central Ltd. 2010