Key result
Posthospitalization home-delivered meals were associated with lower odds of 30-day death and rehospitalization in patients with heart failure compared to concurrent controls (OR 0.55; 95% CI 0.43-0.71).
Why the study?
Does a 4-week posthospitalization home-delivered meals benefit reduce 30-day all-cause rehospitalization and death in Medicare Advantage members discharged after heart failure or other acute medical admissions?
Population
11,976 Medicare Advantage members discharged to home after hospitalization for heart failure or other acute…
Comparison
Posthospitalization home-delivered meals benefit… vs Two control groups: historical cohort from 2019…
Design
Cohort
Follow-up
30-day
Authors
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Supports testing postdischarge meal delivery in heart failure; leaves open confirmation by randomized trials before practice change.
Cohort (n=11,976)
Yes
Does a 4-week posthospitalization home-delivered meals benefit reduce 30-day all-cause rehospitalization and death in Medicare Advantage members discharged after heart failure or other acute medical admissions?
Odds Ratio: 0.55 (95% CI 0.43–0.71)
Absolute Event Rate: 23.3% vs 38.5%
p-value: p=<.001
A posthospitalization home-delivered meals benefit was associated with significantly lower 30-day rehospitalization and mortality among Medicare Advantage patients, though results varied by control group in the heart failure cohort.
Nguyen et al. (2023) conducted a cohort in Heart failure and other acute medical conditions (n=11,976). Posthospitalization home-delivered meals vs. No meals (historical 2019 and concurrent 2021/2022 cohorts) was evaluated on 30-day all-cause composite rehospitalization and death (OR 0.55, 95% CI 0.43-0.71, p=<.001). Posthospitalization home-delivered meals were associated with lower odds of 30-day death and rehospitalization in patients with heart failure compared to concurrent controls (OR 0.55; 95% CI 0.43-0.71).
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