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

Autor: Ali Yazdanyar, Desire Guthier, Theresa Maitz, Satinder Singh, Dominic Parfianowicz, Shuisen Li, Shadi Jarjous
Rok vydání: 2022
Předmět:
Zdroj: Future cardiology. 18(10)
ISSN: 1744-8298
Popis: 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.
Databáze: OpenAIRE