Key result
Between 2007 and 2010, the cumulative incidence of follow-up visits within 10 days of discharge increased from 47.9% to 54.6% for Medicare patients with heart failure, without a change in readmissions.
Population
496,763 Medicare patients over age 65 with an index hospitalization for heart failure, acute myocardial…
Design
Cohort
Follow-up
30 days post-discharge
Authors
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Increased early follow-up was not associated with fewer readmissions; leaves open whether targeted strategies can address persistent disparities in heart failure care.
Cohort (n=496,763)
Yes
Absolute Event Rate: 54.6% vs 47.9%
p-value: p=<0.001
Although early post-discharge follow-up visits increased among Medicare patients from 2007 to 2010, this increase was not associated with a reduction in 30-day readmission rates, and significant disparities in follow-up access persisted for minority and Medicaid patients.
DeLia et al. (2014) conducted a cohort in Heart failure (HF), acute myocardial infarction (AMI), or community-acquired pneumonia (CAP) (n=496,763). Post-discharge follow-up visit vs. Historical control (2007 vs 2010) was evaluated on Follow-up visit within 10 days of discharge for HF patients (p=<0.001). Between 2007 and 2010, the cumulative incidence of follow-up visits within 10 days of discharge increased from 47.9% to 54.6% for Medicare patients with heart failure, without a change in readmissions.
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