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Post-discharge Follow-up Characteristics Associated With 30-Day Readmission After Heart Failure Hospitalization
| Content Provider | Scilit |
|---|---|
| Author | Lee, Keane K. Yang, Jingrong Hernandez, Adrian F. Steimle, Anthony E. Go, Alan S. |
| Copyright Year | 2016 |
| Description | Journal: Medical Care Background: Readmission within 30 days after hospitalization for heart failure (HF) is a major public health problem. Objective: To examine whether timing and type of post-discharge follow-up impacts risk of 30-day readmission in adults hospitalized for HF. Design: Nested matched case-control study (January 1, 2006–June 30, 2013). Setting: A large, integrated health care delivery system in Northern California. Participants: Hospitalized adults with a primary diagnosis of HF discharged to home without hospice care. Measurements: Outpatient visits and telephone calls with cardiology and general medicine providers in non-emergency department and non-urgent care settings were counted as follow-up care. Statistical adjustments were made for differences in patient sociodemographic and clinical characteristics, acute severity of illness, hospitalization characteristics, and post-discharge medication changes and laboratory testing. Results: Among 11,985 eligible adults, early initial outpatient contact within 7 days after discharge was associated with lower odds of readmission [adjusted odds ratio (OR)=0.81; 95% CI, 0.70–0.94], whereas later outpatient contact between 8 and 30 days after hospital discharge was not significantly associated with readmission (adjusted OR=0.99; 95% CI, 0.82–1.19). Initial contact by telephone was associated with lower adjusted odds of 30-day readmission (adjusted OR=0.85; 95% CI, 0.69–1.06) but was not statistically significant. Conclusions: In adults discharged to home after hospitalization for HF, outpatient follow-up with a cardiology or general medicine provider within 7 days was associated with a lower chance of 30-day readmission. |
| Related Links | http://europepmc.org/articles/pmc4800825?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4800825/pdf |
| Ending Page | 372 |
| Page Count | 8 |
| Starting Page | 365 |
| ISSN | 00257079 |
| e-ISSN | 15371948 |
| DOI | 10.1097/mlr.0000000000000492 |
| Journal | Medical Care |
| Issue Number | 4 |
| Volume Number | 54 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2016-04-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Medical Care Peripheral Vascular Disease Heart Failure Readmission, 30-day Readmission, Postdischarge Care |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
