Key result
Hospitalization for heart failure, acute myocardial infarction, or pneumonia in older adults carried 1-year readmission rates of 67.4%, 49.9%, and 55.6%, and death rates of 35.8%, 25.1%, and 31.1%.
Why the study?
What are the trajectories of risk for readmission and death in older patients after hospitalization for heart failure, acute myocardial infarction, or pneumonia?
Population
More than 3 million Medicare fee for service beneficiaries, aged 65 years or more, surviving hospitalization…
Design
Cohort
Follow-up
1 year
Authors
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Prolonged post-discharge vulnerability in older adults after HF, AMI, or pneumonia hospitalization; hypothesis-generating for targeted monitoring trials.
Cohort (n=3,000,000)
Yes
What are the trajectories of risk for readmission and death in older patients after hospitalization for heart failure, acute myocardial infarction, or pneumonia?
Risk of readmission and death remains significantly elevated for months after hospitalization for heart failure, acute myocardial infarction, or pneumonia in older adults, highlighting a prolonged period of vulnerability.
Dharmarajan et al. (2015) conducted a cohort in Heart failure, acute myocardial infarction, or pneumonia (n=3,000,000). Hospitalization for heart failure, acute myocardial infarction, or pneumonia vs. General elderly population was evaluated on Daily absolute risks of first readmission to hospital and death for one year after discharge. Hospitalization for heart failure, acute myocardial infarction, or pneumonia in older adults carried 1-year readmission rates of 67.4%, 49.9%, and 55.6%, and death rates of 35.8%, 25.1%, and 31.1%.
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