Inpatient palliative care encounter and 30-day readmission among hospitalizations for heart failure.

Autor: Yazdanyar, Ali, Guthier, Desire, Maitz, Theresa, Singh, Satinder, Parfianowicz, Dominic, Li, Shuisen, Jarjous, Shadi
Předmět:
Zdroj: Future Cardiology; Nov2022, Vol. 18 Issue 10, p809-816, 8p
Abstrakt: Aim: To determine the association between inpatient palliative care encounter (PCE) and 30-day rehospitalization. Materials & methods: The Nationwide Readmission Database was used in a cross-sectional design study. Comorbidities and a palliative care encounter (PCE; V66.7) were defined using ICD-9 codes. Results: Overall, 21.28% of 3,534,480 index hospitalizations were readmitted. PCE occurred in 1.66% of index hospitalizations and was associated with a lower odds of 30-day rehospitalization (adjusted odds ratio, 0.38; 95% CI: 0.35-0.40). This association remained significant when assessed by discharge destination. Conclusion: PCE was associated with a lower relative odds of 30-day rehospitalization. A 73% decrease in the relative odds of 30-day rehospitalization among discharges to a facility, 64% for home with home health, and 22% for discharges to home. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index