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June 8, 2010Rural and Remote HealthOpen Access

Effect of post-discharge follow-up care on re-admissions among US veterans with congestive heart failure: a rural-urban comparison

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Why the study?

Does post-discharge follow-up care reduce 30-day re-admissions in US veterans with congestive heart failure?

Population

36,566 US veterans with congestive heart failure (CHF) from 2005-2007 Veterans Affairs (VA) data

Comparison

VA post-discharge follow-up outpatient visits vs No post-discharge follow-up visits

Design

Cohort

Follow-up

30 days

Authors

KMKyle J. MuusUniversity of North DakotaAKAlana KnudsonEast Tennessee State UniversityMKMarilyn G. KlugUniversity of North Dakota

Discussion

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Member takes

Implication

Supports follow-up visits to lower readmissions in VA veterans with CHF; hypothesis-generating and needs RCTs before practice change.

Structured PICO

Does post-discharge follow-up care reduce 30-day re-admissions in US veterans with congestive heart failure?

P
Population
36,566 US veterans with congestive heart failure (CHF) from 2005-2007 Veterans Affairs (VA) data
I
Intervention
VA post-discharge follow-up outpatient visits
C
Comparator
No post-discharge follow-up visits
O
Outcome
30-day potentially preventable re-admission to a VA hospitalhard clinical

Post-discharge follow-up care is associated with a significant reduction in 30-day hospital readmissions among both rural and urban US veterans with heart failure.

Cite This Study

Muus et al. (2010) studied this question.

synapsesocial.com/papers/6a6feb8626a7f98052dc7b27https://doi.org/10.22605/rrh1447

Topics

HFrEF treatmentHeart failureHeart failure hospitalization
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improvements in 1-Year Cardiovascular Clinical Outcomes Associated with a Hospital-Based Discharge Medication Program2004 · 146 citations
  2. 2Epidemiology of heart failure1991 · 801 citations
  3. 3The epidemiology of heart failure: The Framingham Study1993 · 2,263 citations
  4. 4Statistical Models and Patient Predictors of Readmission for Heart Failure A Systematic Review2008 · 348 citations
  5. 5Predictors of readmission among elderly survivors of admission with heart failure2000 · 443 citations