Document Type : Original Article
Authors
- Roghaye Abbasian 1
- Abdolghader Assarroudi 2
- Raha Salehabadi 3
- Mohammad Hassan Rakhshani 4
- Mohammad Sahebkar 5
1 Master of Science in Geriatric Nursing, Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.
2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Iranian Research Center on Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran & Iranian Research Center on Aging. University of Social Welfare and Rehabi
4 Assistant Professor, Iranian Research Center on Healthy Aging, Department of Biostatistics and Epidemiology, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
5 PhD in Nursing, School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Abstract
Introduction: Predicting and preventing readmissions in elderly patients with cardiovascular diseases (CVD) is crucial due to the high frequency of readmissions and their association with increased mortality and healthcare costs. This study aimed to evaluate the accuracy of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) in predicting readmission among older adults with CVD.
Materials and Methods: This predictive correlational study was conducted with 133 elderly patients hospitalized in the cardiology and post-CCU wards of Heshmatiye Hospital, Sabzevar, Iran. ADL and IADL scales were completed at discharge, and patients were followed via phone for three months to track readmissions. Data were analyzed using MedCalc and Stata software.
Results: The mean age of participants was 69.83 years (SD = 7.671), with 59.4% being women. The prevalence of readmission was 22.6% within the first month and 33.8% within three months post-discharge. The positive likelihood ratios for ADLs and IADLs were 1.76 and 1.82, respectively, while the negative likelihood ratios were 0.71 and 0.57. Patients who were independent in performing ADLs and IADLs had an 8% and 13% lower chance of readmission compared to dependent patients, respectively.
Conclusion: The findings suggest that the likelihood of readmission is greater among patients dependent on ADLs or IADLs compared to those who are independent.
Keywords
Main Subjects
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