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Social determinants of health influence on re-admittance rates and mortality for the congestive heart failure patient: a systematic review
Descriptive
TitleInfo
Title
Social determinants of health influence on re-admittance rates and mortality for the congestive heart failure patient: a systematic review
Name
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Davis
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Narda
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Narda Davis
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author
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Holly
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Dr. Cheryl
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Dr. Cheryl Holly
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Advisory Committee
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chair
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McMillion
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Dr. Tomicka
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Dr. Tomicka McMillion
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Advisory Committee
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Rutgers University
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RBHS School of Nursing
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theses
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2022
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2022-05
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English
Abstract
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Objective: The objective of this Systematic Review was to examine the evidence on Social Determinants of Health (SDoH) (specifically, poverty/income and health literacy) to determine their influence on readmission and mortality rates in the cardiovascular-disease population.
Background: Heart disease claims over 600,000 lives per year in the United States. While healthcare has advanced in treatment, many socioeconomic factors lead to readmission and mortality in this population.
Inclusion criteria: Adult male and female patients, 65 years of age and older with a diagnosis of Congestive Heart Failure (CHF) who were readmitted following hospitalization for the same diagnosis.
Method: This is a systemic review of quantitative studies. The standard 3-step search strategy of JBI was used to find eligible studies. These were screened by title, abstract and full review for relevance. Critical appraisal and data extraction were performed by two reviewers working independently using the JBI SUMARI tools. The data extraction forms used were based on the selected study’s design.
Results: Of the initial 106 initial articles retrieved, seven full-text articles meeting all inclusion criteria were selected and appraised by two independent reviewers. Three of these articles were then excluded for unreliable results related to bias, and inadequate/lack of information in the article. Four articles were selected for extraction, analysis, and synthesis. These included one randomized control trial (RCT), one analytical cross-sectional study and two cohort studies. A narrative synthesis of these four articles was performed due to the lack of quantitative data to perform a meta-analysis.
Conclusions: The results of this review provide a greater understanding of the scope of healthcare determinants in society, including race, which is tied to economic issues. Among patients with heart failure over the age of 65 years, poverty was found to most influence readmittance rates and mortality rates, and a correlation was seen between low socioeconomic status and poor health literacy. Race was also a contributor as Black people tended to live in more impoverished areas and experienced higher readmission and mortality rates than White people living in the same area.
Background: Heart disease claims over 600,000 lives per year in the United States. While healthcare has advanced in treatment, many socioeconomic factors lead to readmission and mortality in this population.
Inclusion criteria: Adult male and female patients, 65 years of age and older with a diagnosis of Congestive Heart Failure (CHF) who were readmitted following hospitalization for the same diagnosis.
Method: This is a systemic review of quantitative studies. The standard 3-step search strategy of JBI was used to find eligible studies. These were screened by title, abstract and full review for relevance. Critical appraisal and data extraction were performed by two reviewers working independently using the JBI SUMARI tools. The data extraction forms used were based on the selected study’s design.
Results: Of the initial 106 initial articles retrieved, seven full-text articles meeting all inclusion criteria were selected and appraised by two independent reviewers. Three of these articles were then excluded for unreliable results related to bias, and inadequate/lack of information in the article. Four articles were selected for extraction, analysis, and synthesis. These included one randomized control trial (RCT), one analytical cross-sectional study and two cohort studies. A narrative synthesis of these four articles was performed due to the lack of quantitative data to perform a meta-analysis.
Conclusions: The results of this review provide a greater understanding of the scope of healthcare determinants in society, including race, which is tied to economic issues. Among patients with heart failure over the age of 65 years, poverty was found to most influence readmittance rates and mortality rates, and a correlation was seen between low socioeconomic status and poor health literacy. Race was also a contributor as Black people tended to live in more impoverished areas and experienced higher readmission and mortality rates than White people living in the same area.
Subject
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Topic
Nursing
Subject
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Topic
Congestive Heart Failure (CHF)
Subject
(authority = local)
Topic
Heart failure
Subject
(authority = local)
Topic
Inadequate housing
Subject
(authority = local)
Topic
Health literacy
Subject
(authority = local)
Topic
Poverty
Subject
(authority = local)
Topic
Social determinants of health
Subject
(authority = local)
Topic
Readmission rates
Subject
(authority = local)
Topic
Mortality rates
Subject
(authority = local)
Topic
Elderly
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Rutgers University Electronic Theses and Dissertations
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http://dissertations.umi.com/RBHS:10051
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38 pages : illustrations
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D.N.P.
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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Identifier
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doi:10.7282/t3-v7h0-ba63
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Rights
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The author owns the copyright to this work.
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Davis
GivenName
Narda
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S
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Permission or license
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2022-08-29T12:02:38
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Narda S Davis
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Rutgers University. RBHS School of Nursing
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2022-08-29
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2024-08-27
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after August 27, 2024
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2022-01-16T18:56:41
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2022-01-16T18:56:41
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