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June 14, 2010Archives of Internal Medicine

Effect of Hospital Follow-up Appointment on Clinical Event Outcomes and Mortality

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Why the study?

Does a documented hospital follow-up appointment reduce hospital readmission, emergency department visits, and mortality in general medicine patients?

Population

4,989 general medicine patients dismissed in 2006 from Mayo Clinic hospitals in Rochester, Minnesota

Comparison

Documented specific appointment details for… vs No documented follow-up appointment in dismissal…

Design

Cohort

Follow-up

30 and 180 days

Authors

CGC. A. Grafft

Discussion

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Overview

Documented follow-up appointments were not associated with reduced 30-day outcomes; leaves open whether mandating this practice improves results in general medicine.

Structured PICO

Does a documented hospital follow-up appointment reduce hospital readmission, emergency department visits, and mortality in general medicine patients?

P
Population
4,989 general medicine patients dismissed in 2006 from Mayo Clinic hospitals in Rochester, Minnesota
I
Intervention
Documented specific appointment details for follow-up in hospital dismissal instructions
C
Comparator
No documented follow-up appointment in dismissal instructions
O
Outcome
Hospital readmission, emergency department visits, and mortality at 30 and 180 days after dischargehard clinical

Arranging hospital follow-up appointments at discharge does not appear to improve 30-day readmission rates or survival in general medicine patients, challenging national efforts to mandate this practice.

Cite This Study

C. A. Grafft (2010) studied this question.

synapsesocial.com/papers/6a711c36fe4101aa97e0700ahttps://doi.org/10.1001/archinternmed.2010.105
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