%0 Journal Article
%T Numeracy, Health Literacy, Cognition, and 30-Day Readmissions among Patients with Heart Failure
%A Amanda S. Mixon
%A MD
%A MS
%A MSPH
%A FHM
%A Jonathan S. Schildcrout
%A PhD
%A Kathryn Goggins
%A MPH
%A Kenneth A. Wallston
%A PhD
%A Madeline R. Sterling
%A MD
%A MPH
%A Monika M. Safford
%A MD
%A Russell L. Rothman
%A MD
%A MPP
%A Sam K. Nwosu
%A MS
%A Sunil Kripalani
%A MD
%A MSc
%A SFHM
%J Journal of Hospital Medicine
%D 2018
%R 10.12788/jhm.2932
%X BACKGROUND: Numeracy, health literacy, and cognition are important for chronic disease management. Prior studies have found them to be associated with poorer self-care and worse clinical outcomes, but limited data exists in the context of heart failure (HF), a condition that requires patients to monitor their weight, fluid intake, and dietary salt, especially in the posthospitalization period.OBJECTIVE: To examine the relationship between numeracy, health literacy, and cognition with 30-day readmissions among patients hospitalized for acute decompensated HF (ADHF).DESIGN/SETTING/PATIENTS: The Vanderbilt Inpatient Cohort Study is a prospective longitudinal study of adults hospitalized with acute coronary syndromes and/or ADHF. We studied 883 adults hospitalized with ADHF.MEASUREMENTS: During their hospitalization, a baseline interview was performed in which demographic characteristics, numeracy, health literacy, and cognition were assessed. Through chart review, clinical characteristics were determined. The outcome of interest was 30-day readmission to any acute care hospital. To examine the association between numeracy, health literacy, cognition, and 30-day readmissions, multivariable Poisson (log-linear) regression was used.RESULTS: Of the 883 patients admitted for ADHF, 23.8% (n£¿=£¿210) were readmitted within 30 days; 33.9% of the study population had inadequate numeracy skills, 24.6% had inadequate/marginal literacy skills, and 53% had any cognitive impairment. Numeracy and cognition were not associated with 30-day readmissions. Though (objective) health literacy was associated with 30-day readmissions in unadjusted analyses, it was not in adjusted analyses.CONCLUSIONS: Numeracy, health literacy, and cognition were not associated with 30-day readmission among this sample of patients hospitalized with ADHF
%U https://www.journalofhospitalmedicine.com/jhospmed/article/157583/hospital-medicine/numeracy-health-literacy-cognition-and-30-day-readmissions