June 11, 2015Heart
Relation between process measures and diagnosis-specific readmission rates in patients with heart failure
Why the study?
Does higher performance on evidence-based HF process measures reduce cause-specific readmission rates in patients admitted for heart failure?
Population
123,644 patients with a first emergency admission with a primary diagnosis of heart failure across all acute…
Comparison
Higher performance on six National Heart Failure… vs Lower performance on process of care measures
Design
Cohort
Follow-up
365 days
Authors
Discussion
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Member takes
Implication
Supports modest short-term HF readmission reductions; hypothesis-generating for causal effects of process measure performance.
Structured PICO
Does higher performance on evidence-based HF process measures reduce cause-specific readmission rates in patients admitted for heart failure?
P
Population
123,644 patients with a first emergency admission with a primary diagnosis of heart failure (HF) across all acute hospitals in England
I
Intervention
Higher performance on six National Heart Failure Audit process of care measures (prescribing of ACE inhibitors and beta-blockers, echocardiogram, cardiology inpatient care, follow-up by cardiologist, and HF liaison)
C
Comparator
Lower performance on process of care measures
O
Outcome
Risk-adjusted readmission rates for HF and for all non-HF diagnoses combined at 7, 30, and 365 dayshard clinical
Higher hospital performance on evidence-based HF process measures is associated with modestly lower HF-specific readmission rates, primarily in the short term (7 days).
Cite This Study
Bottle et al. (2015) studied this question.