Key result
Heart failure readmission to the original hospital is linked to ~11% lower mortality vs a different hospital.
Why the study?
Up to one fifth of readmissions after heart failure hospitalization occur at a different hospital, but the impact of readmission site on outcomes is unclear.
Does readmission to the original hospital improve outcomes compared to readmission to a different hospital in patients with heart failure?
Cohort (n=217,039)
Yes
Does readmission to the original hospital improve outcomes compared to readmission to a different hospital in patients with heart failure?
Odds Ratio: 0.89 (95% CI 0.82–0.96)
Absolute Event Rate: 14.4% vs 15%
Readmission to the original hospital after a heart failure hospitalization is associated with shorter length of stay and lower mortality compared to readmission to a different hospital, highlighting the importance of continuity of care.
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Supports continuity of care in HF readmissions; leaves open whether the association is causal or should change practice.
McAlister et al. (2017) conducted a cohort in Heart failure (n=217,039). Readmission to the original hospital vs. Readmission to a different hospital was evaluated on Mortality (OR 0.89, 95% CI 0.82-0.96). Readmission to the original hospital after heart failure was associated with lower mortality (14.4% vs 15.0%; OR 0.89, 95% CI 0.82-0.96) compared to readmission to a different hospital.
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