Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure
dc.contributor.author | Smith, Asa | |
dc.contributor.author | Jung, Miyeon | |
dc.contributor.author | O'Donnell, Daniel | |
dc.contributor.author | White, Fletcher | |
dc.contributor.author | Pressler, Susan | |
dc.date.accessioned | 2024-12-09T09:35:03Z | |
dc.date.available | 2024-12-09T09:35:03Z | |
dc.date.issued | 2024-07-10 | |
dc.description.abstract | Background: Pain is common among patients with heart failure but has not been examined with short-term discharge outcomes. The purpose was to examine whether pain at discharge predicts return to community status and 90-day mortality among hospitalized patients with heart failure. Methods: Data from medical records of 2169 patients hospitalized with heart failure were analyzed in this retrospective cohort study. The independent variable was a diagnosis of pain at discharge. Outcomes were return to community status (yes/no) and 90-day mortality. Logistic regression was used to address aims. Covariates included age, gender, race, vital signs, comorbid symptoms, comorbid conditions, cardiac devices, and length of stay. Results: The sample had a mean age of 66.53 years, and was 57.4% AQ3 women and 55.9%Black. Of 2169 patients, 1601 (73.8%) returned to community, and 117 (5.4%) died at or before 90 days. Patients with pain returned to community less frequently (69.6%) compared with patients without pain (75. 2%), which was a statistically significant relationship (odds ratio, 0.74; 95% confidence interval, 0.57–0.97; P = .028). Other variables that predicted return to community status included age, comorbid conditions, dyspnea, fatigue, systolic blood pressure, and length of stay. Pain did not predict increased 90-day mortality. Variables that predicted mortality included age, liver disease, and systolic blood pressure. Conclusion: Patients with pain were less likely to return to community but did not have higher 90-day mortality. Pain in combination with other symptoms and comorbid conditions may play a role in mortality if acute pain versus chronic pain can be stratified in a future study. | |
dc.description.sponsorship | Research reported in this publication was supported by the National Institute of Nursing Research of the National Institutes of Health under award number T32 NR018407. | |
dc.identifier.citation | Smith AB, Jung M, O'Donnell D, White FA, Pressler SJ. Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure. J Cardiovasc Nurs. 2025 Jan-Feb 01;40(1):19-30. doi: 10.1097/JCN.0000000000001114. Epub 2024 Jul 10. PMID: 38915135; PMCID: PMC11611697. | |
dc.identifier.uri | https://hdl.handle.net/1805/44820 | |
dc.language.iso | en_US | |
dc.publisher | Wolters Kluwer | |
dc.relation.isversionof | 10.1097/JCN.0000000000001114 | |
dc.subject | Continuity of patient care | |
dc.subject | Emergency medical services (EMS) | |
dc.subject | Heart failure | |
dc.subject | Mortality | |
dc.subject | Pain | |
dc.title | Pain, Return to Community Status, and 90-Day Mortality Among Hospitalized Patients With Heart Failure | |
dc.type | Article |