Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?
Affiliation
Heart Failure Unit, St Vincent's University Hospital, Elm Park, Dublin 4,, Ireland.Issue Date
2012-02-01T10:32:08ZMeSH
Aged*Disease Management
Female
Heart Failure/*prevention & control
Humans
Ireland
Length of Stay
Male
Patient Readmission/*statistics & numerical data
Prognosis
Program Evaluation
Retrospective Studies
Risk Factors
Metadata
Show full item recordCitation
Ir J Med Sci. 2009 Jun;178(2):167-71. Epub 2009 May 1.Journal
Irish journal of medical scienceDOI
10.1007/s11845-009-0332-6PubMed ID
19408042Abstract
BACKGROUND: Disease Management Programmes (DMPs) are successful in reducing hospital readmissions in heart failure (HF). However, there remain a number of patients enrolled in a DMP who are readmitted with HF. The primary aim of the study was to determine the proportion of preventable readmissions (PR). The secondary aim was to recognise patient characteristics which would identify certain patients at risk of having a PR. METHODS: A retrospective chart search was performed on patients readmitted over a 1-year period. RESULTS: 38.5% of readmissions were classified as PR. None of these patients made prior contact with the DMP. Admission levels of BNP, potassium, urea and creatinine were significantly lower in the PR group. CONCLUSION: DMP have proven benefits in reducing hospital readmission nonetheless a significant proportion of these readmissions are preventable. Further work is required to prospectively analyse why these patients fail to contact the DMP.Language
engISSN
1863-4362 (Electronic)0021-1265 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1007/s11845-009-0332-6