Matteo Fabbri|Kathleen J. Yost|Lila J. Finney Rutten|Sheila M. Manemann|Cynthia M. Boyd|Daniel Jensen|Susan A. Weston|Ruoxiang Jiang|Véronique L. Roger
Health Literacy and Outcomes in Patients With Heart Failure: A Prospective Community Study
Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Florida|Johns Hopkins Medicine|Johns Hopkins University|Olmsted Medical Center|Mayo Clinic in Florida|Mayo Clinic in Florida|Mayo Clinic in Arizona|Mayo Clinic in Florida
examine impact health literacy hospitalizations death population patients heart failure hfresidents 11county region southeast minnesota firstever international classification diseases ninth revision code 428 tenth revision code 150 n5121 january 1 2013 december 31 2015 identified prospectively surveyed measure health literacy using established screening questions total 2647 patients returned survey response rate 52 2487 patients complete health literacy data retained analysis health literacy measured composite score three 5point scales categorized adequate 8 low 8 cox proportional hazards regression andersengill models used examine association health literacy mortality hospitalizationof 2487 patients mean age 735 years 536 male n1333 105 n 261 low health literacy mean sd followup 15572 months 250 deaths 1584 hospitalizations occurred low health literacy associated increased mortality hospitalizations adjusting age sex comorbidity education marital status hazard ratios death hospitalizations patients low health literacy 191 95 ci 138265 p001 130 95 ci 102166 p03 respectively compared patients adequate health literacylow health literacy associated increased risks hospitalization death patients hf clinical evaluation health literacy could help design interventions individualized patients low health literacy