FAQContact usTerms of servicePrivacy Policy

Heart patients face long-term readmission risk

Thursday May 16, 2013
Printer Icon
line
Select Text Size: Zoom In Zoom Out
line
Comment
Share this Nurse.com Article
rss feed
Myocardial infarction or heart failure patients may have a high risk of death or re-admission for a month or longer after leaving the hospital, according to a study.

“The risks of death and re-hospitalization can extend well beyond 30 days after discharge, the time period used by the federal government for measuring hospital performance,” Kumar Dharmarajan, MD, MBA, the study’s lead author and a fellow in cardiology at Columbia University Medical Center in New York City, said in a news release. “Post-discharge care may be improved when aligned to the periods of greatest risk for patients.”

As presented May 16 at the American Heart Association’s Quality of Care and Outcomes meeting, researchers examined Medicare data on patients discharged for heart failure (878,963) and MI (350,509).

They found that within the first year, 41.8% of heart failure patients died and 70.3% were re-hospitalized; and 25.9% of MI patients died, with 50.5% rehospitalized.

The risk of re-hospitalization after heart failure took 43 days to decline 50% from its peak level after discharge.

In the month after a MI, the likelihood of death was 21 times higher and the likelihood of hospitalization was 12 times higher than among the general Medicare-age population. In the month after hospitalization for heart failure, the likelihood of death was 17 times higher and the likelihood of hospitalization was 16 times higher than among the general Medicare-age population.

“In the weeks after hospital discharge, your risk of death, re-hospitalization and other complications is very high,” said Dharmarajan, a visiting scholar at Yale University in New Haven, Conn. “If you feel ill, take it seriously and contact your healthcare provider.”

Read the study abstract: http://circoutcomes.ahajournals.org/cgi/content/meeting_abstract/6/3_MeetingAbstracts/A13.


Send comments to editor@nurse.com or post comments below.

  The Following Error Message has been generated for internal use by Gannett Healthcare Group Employees.
It will not be displayed outside of networks operated by Gannett Healthcare Group. If this error persists, please feel free to contact the Online Department at (703)536-0554.
Template = #error.Template#
Querystring = #error.querystring#
Form Fields = #FormFields#
Error Type (#error.Type#)
Message:
#message#

Detail:
#Detail#

errorCode:
#errorCode#

Diagnostics:
#diagnostics#

SQL Statement:
#sqlStatement#

Tag Stack:
#replace(Stack,">>>","
","All")#
Insert INTO ErrorLog (Site, Path,QString,Type,ErrorCode,Message,Diagnostics,detail,stack,sqlStatement,IP,Browser,Internal,refer,EXTENDEDINFO,FormFields, Method) Values ('#cgi.server_name#(#outputServerVar#)','#error.Template#','#error.querystring#','#error.type#','#ErrorCode#','#Message#','#Diagnostics#','#Detail#','#Stack#','#sqlStatement#','#CGI_REMOTE_ADDR#','#error.Browser#',#localErrors#,'#Left(CGI.HTTP_REFERER, 250)#','#EXTENDEDINFO#','#FormFields#','#ReqMethod#') CFCATCH:
ERROR:
MVC error occurred, see log