Post-discharge Follow-up Characteristics Associated With 30-Day Readmission After Heart Failure Hospitalization
Bibliographic Data
| ID | 9098320 |
|---|---|
| Authors | Keane K Lee (0000-0002-3650-1750, Kaiser Permanente), Jingrong Yang (0000-0003-1061-560X, Kaiser Permanente), Adrian F Hernandez (0000-0003-3387-9616, Kaiser Permanente), Anthony E Steimle, Anthony Steimle (Kaiser Permanente), Alan S Go (0000-0001-9109-0811, Kaiser Permanente) |
| Year | 2016 |
| Volume | 54 |
| Issue | 4 |
| Pages | 365-372 |
| Publication date | 2016-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000492 |
| PMID | 26978568 |
| OpenAlex | W2313424119 |
| Language | EN |
| Citations received | 4 |
| References cited | 29 |
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
Emergency department · Health care · Heart failure · Hospital readmission · Logistic regression · Odds · Odds ratio · Outpatient clinic · Outpatient visits · Cardiovascular Function and Risk Factors · Emergency Medicine · Heart Failure Treatment and Management · Internal Medicine · Medicine · Transplantation: Methods and Outcomes · Pediatrics
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| Unique citing works | 4 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2020 - 2023 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |