The Heart Failure Clinic: Improving 30-Day All-Cause Hospital Readmissions
| Autor: | Perry Wengrofsky, Howard Levitt, Nicholas Taklalsingh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Exacerbation Population Ambulatory Care Facilities Patient Readmission Cohort Studies 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine education Aged Retrospective Studies Heart Failure education.field_of_study Hospitals Public business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Retrospective cohort study Middle Aged medicine.disease Patient Discharge Log-rank test Heart failure Practice Guidelines as Topic Public hospital Emergency medicine Cohort Female New York City 0305 other medical science business Cohort study |
| Zdroj: | Journal for Healthcare Quality. 42:215-223 |
| ISSN: | 1945-1474 1062-2551 |
| Popis: | Heart failure-related recurrent hospitalizations are widely recognized as a source of burden to both patients and the health system. Hospital discharges represent a transition of care and can often become a catalyst for readmission. One strategy in reducing this burden is the implementation of dedicated heart failure clinics. We conducted a retrospective review of all patients discharged from an inner city safety-net public hospital with a discharge diagnosis of heart failure. Patients followed in the Heart Clinic (HC) were compared to those with standard follow-up. All included cases were followed for 30 days after discharge to determine whether an all-cause readmission occurred. There were 258 patient discharges with an overall sicker population in the HC cohort. The HC group had a better event-free survival with a 67.1% reduction in readmission (log rank *p < .05). In concluding, a dedicated heart failure clinic reduced 30-day readmissions for patients who were discharged after having an acute exacerbation of heart failure. |
| Databáze: | OpenAIRE |
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