A community-based cardiovascular service was associated with 66 fewer emergency CVD admissions per 100,000 population per year (95% CI 22.13-108.98) compared to a matched control group.
Observational
Does a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service reduce emergency hospital admissions for cardiovascular disease in a highly deprived population?
A consultant-led, community-based cardiovascular service was associated with a significant reduction in emergency hospital admissions in a highly disadvantaged population.
Effect estimate: 66 fewer emergency CVD admissions per 100,000 population per year (95% CI 22.13-108.98)
OBJECTIVE: To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England. METHODS: A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD). RESULTS: Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed. CONCLUSION: This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions.
Downing et al. (Thu,) conducted a observational in Cardiovascular disease. Consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service vs. Matched comparison population that had not received the intervention was evaluated on Emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (66 fewer emergency CVD admissions per 100,000 population per year, 95% CI 22.13-108.98). A community-based cardiovascular service was associated with 66 fewer emergency CVD admissions per 100,000 population per year (95% CI 22.13-108.98) compared to a matched control group.