Candace D. McNaughton|Courtney Cawthon|Sunil Kripalani|Dandan Liu|Alan B. Storrow|Christianne L. Roumie
Health Literacy and Mortality: A Cohort Study of Patients Hospitalized for Acute Heart Failure
Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|VA Tennessee Valley Healthcare System|Geriatric Research Education and Clinical Center|Veterans Health Administration
30 patients hospitalized heart failure rehospitalized die within 90 days discharge lower health literacy associated mortality among outpatients chronic heart failure little known relationship hospitalization acute heart failurepatients hospitalized acute heart failure discharged home november 2010 june 2013 followed december 31 2013 nurses administered brief health literacy screen admission low health literacy defined brief health literacy screen 9 primary outcome allcause mortality secondary outcomes time first rehospitalization separately time first emergency department visit within 90 days discharge cox proportional hazards models determined relationships health literacy adjusting age gender race insurance education comorbidity hospital length stay 1379 patients average age 631 years 566 410 female 324 235 low health literacy median followup 207 months interquartile range 128 296 months 403 292 patients died adjusted hazard ratio ahr death among patients lhl 132 95confidence interval ci 105 166 p002 compared bhls9 correctedwithin 90 days discharge 415 301 rehospitalizations 201 146 emergency department visits evident association health literacylower health literacy associated increased risk death hospitalization acute heart failure evident relationship health literacy 90day rehospitalization emergency department visits