{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T12:20:18Z","timestamp":1788006018305,"version":"build-2784847793"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":638,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Medical Research Future Fund (MRFF) Keeping Australians Out of Hospital","award":["APP1178554"],"award-info":[{"award-number":["APP1178554"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Reducing preventable hospitalization for congestive heart failure (CHF) patients is a challenge for health systems worldwide. CHF patients who also have a recent or ongoing mental disorder may have worse health outcomes compared with CHF patients with no mental disorders. This study examined the impact of mental disorders on 28 day unplanned readmissions of CHF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>This retrospective cohort study used population-level linked public and private hospitalization and death data of adults aged \u226518 years who had a CHF admission in New South Wales, Australia, between 1 January 2014 and 31 December 2020. Individuals\u2019 mental disorder diagnosis and Charlson comorbidity and hospital frailty index scores were derived from admission records. Competing risk and cause-specific risk analyses were conducted to examine the impact of having a mental disorder diagnosis on all-cause hospital readmission. Of the 65 861 adults with index CHF admission discharged alive (mean age: 78.6 \u00b1 12.1; 48% female), 19.2% (12 675) had at least one unplanned readmission within 28 days following discharge. Adults with CHF with a mental disorder diagnosis within 12 months had a higher risk of 28 day all-cause unplanned readmission [hazard ratio (HR): 1.21, 95% confidence interval (CI): 1.15\u20131.27, P-value &amp;lt; 0.001], particularly those with anxiety disorder (HR: 1.49, 95% CI: 1.35\u20131.65, P-value &amp;lt; 0.001). CHF patients aged \u226585 years (HR: 1.19, 95% CI: 1.11\u20131.28), having \u22653 other comorbidities (HR: 1.35, 95% CI: 1.25\u20131.46), and having an intermediate (HR: 1.34, 95% CI: 1.28\u20131.40) or high (HR: 1.37, 95% CI: 1.27\u20131.47) frailty score on admission had a higher risk of unplanned readmission. CHF patients with a mental disorder who have \u22653 other comorbidities and an intermediate frailty score had the highest probability of unplanned readmission (29.84%, 95% CI: 24.68\u201335.73%) after considering other patient-level factors and competing events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CHF patients who had a mental disorder diagnosis in the past 12 months are more likely to be readmitted compared with those without a mental disorder diagnosis. CHF patients with frailty and a mental disorder have the highest probability of readmission. Addressing mental health care services in CHF patient's discharge plan could potentially assist reduce unplanned readmissions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.14644","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T02:03:42Z","timestamp":1705457022000},"page":"962-973","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of Mental Disorders on Unplanned Readmissions for Congestive Heart Failure Patients: A Population-Level Study"],"prefix":"10.1093","volume":"11","author":[{"given":"Zhisheng","family":"Sa","sequence":"first","affiliation":[{"name":"Australian Institute of Health Innovation, Macquarie University , Level 6, 75 Talavera Road, Sydney, NSW ,","place":["Australia"]},{"name":"NSW Biostatistics Training Program, NSW Ministry of Health , Sydney, NSW 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Health Sciences, Macquarie University , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Frederic","family":"Levesque","sequence":"additional","affiliation":[{"name":"Agency for Clinical Innovation , Sydney, NSW ,","place":["Australia"]},{"name":"Centre for Primary Health Care and Equity, University of New South Wales , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane E.","family":"Watson","sequence":"additional","affiliation":[{"name":"Bureau of Health Information , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna I.","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Macquarie University , Level 6, 75 Talavera Road, Sydney, NSW 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