Shannon M. Dunlay|Joan M. Griffin|Margaret M. Redfield|Véronique L. Roger
Patient Activation in Acute Decompensated Heart Failure
Mayo Clinic in Florida|Mayo Clinic|Winneshiek Medical Center|National Institutes of Health|Mayo Clinic in Florida|Mayo Clinic|Winneshiek Medical Center|National Institutes of Health|Mayo Clinic in Florida|Mayo Clinic|Winneshiek Medical Center|National Institutes of Health|Mayo Clinic in Florida|Mayo Clinic|Winneshiek Medical Center|National Institutes of Health
recent data suggest patient activation knowledge skills confidence engage manage ones health favorably impacts patient behaviors health outcomes however role activation patients heart failure unknownthe aims study measure level activation patients hospitalized acute decompensated heart failure adhf determine whether activation associated inhospital early postdischarge outcomeswe prospectively recruited southeastern minnesota residents hospitalized mayo clinic hospitals adhf january 2014 july 2015 activation measured using patient activation measure questionnaireamong 302 patients enrolled mean age 773 years 573 men 468 preserved ejection fraction median 25th75th percentile length stay 4 37 days total 7 23 patients died discharge survivors discharged home 736 skilled nursing facilities 237 number patients activation level highest lowest 9 30 121 401 122 404 50 166 patients lower activation older less educated lower patient satisfaction worse health literacy often discharged skilled nursing facilities higher 30day mortality although 30day readmission differ activationpatients hospitalized adhf lower activation less satisfied worse health literacy often require skilled care increased risk early postdischarge mortality activation easily measured may help clinicians identify highrisk patients