Candace D. McNaughton|Sean P. Collins|Sunil Kripalani|Russell L. Rothman|Wesley H. Self|Cathy A. Jenkins|Karen F. Miller|Patrick G. Arbogast|Allen J. Naftilan|Robert S. Dittus|Alan B. Storrow
Low Numeracy Is Associated With Increased Odds of 30-Day Emergency Department or Hospital Recidivism for Patients With Acute Heart Failure
Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Kaiser Permanente Center for Health Research|Vanderbilt University|Vanderbilt University|Vanderbilt University
25 medicare patients hospitalized heart failure readmitted within 30 days contributions numeracy health literacy recidivism patients acute heart failure ahf knowna cohort patients acute heart failure presented 4 emergency departments january 2008 september 2011 research assistants administered subjective measures numeracy health literacy 30day followup performed phone interview recidivism defined unplanned return emergency department hospital within 30 days index emergency department visit ahf multivariable logistic regression adjusting patient age sex race insurance status hospital site days eligible recidivism chronic kidney disease abnormal hemoglobin low ejection fraction evaluated relation numeracy health literacy 30day recidivism 709 patients included analysis 390 55 low numeracy skills 258 37 low literacy skills low numeracy associated increased odds recidivism within 30 days adjusted odds ratio 141 95 confidence interval 100198 p0048 low health literacy adjusted odds ratio recidivism 117 95 confidence interval 083165 p037low numeracy associated greater odds 30day recidivism investigation warranted determine whether addressing numeracy health literacy may reduce 30day recidivism patients acute heart failure