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Research Article| Volume 29, ISSUE 3, P278-289, March 2023

Rethinking Rehospitalization in Heart Failure Care Transitions: Heterogeneity in Use Typologies

  • Sijia Wei
    Correspondence
    Reprint requests: Sijia Wei, PhD, RN, Center for Education in Health Sciences, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611.
    Affiliations
    School of Nursing, Duke University, Durham, North Carolina

    Center for Education in Health Sciences, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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  • Eleanor S. Mcconnell
    Affiliations
    School of Nursing, Duke University, Durham, North Carolina

    Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs Health Care System, Durham, North Carolina

    Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina
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  • Wei Pan
    Affiliations
    School of Nursing, Duke University, Durham, North Carolina

    Department of Population Health Sciences, School of Medicine, Duke University, Durham, North Carolina
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  • Kirsten N. Corazzini
    Affiliations
    School of Nursing, Duke University, Durham, North Carolina

    School of Nursing, University of Maryland, Baltimore, Maryland
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  • Bradi B. Granger
    Affiliations
    School of Nursing, Duke University, Durham, North Carolina

    Heart Center Nursing Research Program, Duke University Health System and School of Nursing, Durham, North Carolina
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      Highlights

      • High heterogeneity exists in health care use by patients with heart failure for various services.
      • A small subgroup of high users utilized the majority of acute and ambulatory care resources.
      • High outpatient use was associated with high acute-care use.
      • Faster change in the severity of illness increased the likelihood of high use.
      • Group-based trajectory modeling complements 30-day readmission rate as a means of improving care for those with heart failure.
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