Key result
Inpatient CHF coordinator consults are linked to ~92% fewer 30-day readmissions versus standard care.
Why the study?
Transitional-care interventions are critical for bridging the gap between inpatient and outpatient settings in CHF, but real-world data validating dedicated CHF coordinators are needed.
Does inpatient consultation by a dedicated CHF coordinator reduce 30-day and 90-day readmissions in adults admitted with acute decompensated CHF?
Cohort (n=11,269)
Does inpatient consultation by a dedicated CHF coordinator reduce 30-day and 90-day readmissions in adults admitted with acute decompensated CHF?
Effect estimate: 92% reduction in odds
Inpatient consultation by a dedicated CHF coordinator dramatically reduces 30-day and 90-day all-cause and CHF-specific readmissions in patients with acute decompensated heart failure.
Coordinator consultation was associated with lower readmissions; supports further evaluation but should not yet change practice.
BACKGROUND: Congestive heart failure (CHF) is a leading cause of adult hospitalization, with 30-day readmission rates remaining disproportionately high at approximately 25% despite medical advances. PROJECT RATIONALE: Transitional-care interventions are critical for bridging the gap between inpatient and outpatient settings. Real-world data are necessary to validate the efficacy of dedicated CHF coordinators and guide resource allocation. PROJECT SUMMARY: A retrospective cohort study evaluated 11,269 adults admitted with acute decompensated CHF from January 2020 through October 2025. Comparing patients receiving a coordinator consultation to a control group, the intervention reduced the odds of 30-day all-cause readmissions by 92% and CHF-specific readmissions by 91%. At 90 days, the reductions were 88% and 85%, respectively. TAKE-HOME MESSAGES: Inpatient consultation by a dedicated CHF coordinator significantly reduces 30-day and 90-day readmissions. Integrating this role into standard workflows improves long-term outcomes.
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Harwood et al. (2026) conducted a cohort in Acute decompensated congestive heart failure (n=11,269). Dedicated CHF coordinator consultation vs. Control group was evaluated on 30-day all-cause readmissions (92% reduction in odds). Inpatient consultation by a dedicated CHF coordinator reduced the odds of 30-day all-cause readmissions by 92% and CHF-specific readmissions by 91% compared to a control group.
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