Key result
Receipt of home healthcare services after discharge from a skilled nursing facility to home was associated with a lower 30-day readmission rate (22.8% vs 24.5%; HR 0.91; 95% CI 0.86-0.95).
Why the study?
Heart failure readmission rates have plateaued, and it was unknown whether home healthcare services affect readmission risk during the transition from skilled nursing facilities to home following hospitalization.
Does home healthcare reduce unplanned 30-day readmission in older adults with heart failure discharged home from a skilled nursing facility?
Cohort (n=67,585)
Does home healthcare reduce unplanned 30-day readmission in older adults with heart failure discharged home from a skilled nursing facility?
Hazard Ratio: 0.91 (95% CI 0.86–0.95)
Absolute Event Rate: 22.8% vs 24.5%
p-value: p=<.0001
Home healthcare services after discharge from a skilled nursing facility to home are associated with a reduced risk of 30-day readmission in older patients with heart failure.
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May support post-SNF home healthcare referrals to curb readmissions; observational association leaves open need for randomized confirmation.
Weerahandi et al. (2019) conducted a cohort in Heart failure (n=67,585). Home healthcare (HHC) services vs. No home healthcare services was evaluated on Unplanned readmission within 30 days of discharge to home from SNF (HR 0.91, 95% CI 0.86-0.95, p=<.0001). Receipt of home healthcare services after discharge from a skilled nursing facility to home was associated with a lower 30-day readmission rate (22.8% vs 24.5%; HR 0.91; 95% CI 0.86-0.95).
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