Guidelines on preventing MRSA and CLABSI in hospitals, how to curb readmissions, and more. ... The most effective interventions to reduce readmissions are also the most complex, a recent meta-analysis found.
Patients with heart failure with reduced ejection fraction who were taking digoxin before hospitalization had higher short-term mortality and long-term readmission risk if the drug was discontinued at discharge. ... or all-cause readmission (HR, 1.03; 95%
An accompanying editorial expressed concern about the impacts of policies to reduce readmissions on heart failure patients. ... Multivariable analysis of the study's results found only cognitive impairment and previous ED visits to be significant
20.1%). Observation and ED visits increased in all groups, and inpatient readmissions decreased only for patients with Medicare (18.3% vs. ... Regardless of the cause of the findings, measuring readmission rates without counting ED visits and observation
Some transitional care interventions more effective than others for reducing readmissions and mortality after hospitalizations for heart failure
Structured telephone support and telemonitoring interventions were not effective in reducing readmissions (moderate strength of evidence for both). ... Our findings provide guidance to quality improvement efforts aimed at reducing readmission and
A risk score that predicts patients' risk of readmission after acute myocardial infarction was recently developed using the National Cardiovascular Data Registry. ... A main strength of the study is that it looked at readmissions within 90 days, which
Researchers used 2013 and 2014 data from the Healthcare Cost and Utilization's all-payer Nationwide Readmission Database to compare hospital-level 30-day readmissions for the conditions that are publicly ... a program to reduce readmissions should be
A nurse-delivered three-month postdischarge program for patients with chronic obstructive pulmonary disease (COPD) included transition support, training in self-management techniques, and help with access to outpatient services.
Four years after discharge, having stopped digoxin was associated with significantly higher risks of heart failure readmission (hazard ratio [HR], 1.21; 95% CI, 1.05 to 1.39; ... or all-cause readmission (HR, 1.03; 95% CI, 0.84 to 1.26; P=0.778).
Researchers also looked at the timing of readmissions, finding that the median time to readmission was 10 days for MI and 12 for HF and pneumonia, but that readmissions were frequent ... Most of these encounters were hospital readmissions, but 39.8% were