Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?

Hdl Handle:
http://hdl.handle.net/10147/207586
Title:
Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?
Authors:
Phelan, D; Smyth, L; Ryder, M; Murphy, N; O'Loughlin, C; Conlon, C; Ledwidge, M; McDonald, K
Affiliation:
Heart Failure Unit, St Vincent's University Hospital, Elm Park, Dublin 4,, Ireland.
Citation:
Ir J Med Sci. 2009 Jun;178(2):167-71. Epub 2009 May 1.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207586
DOI:
10.1007/s11845-009-0332-6
PubMed ID:
19408042
Abstract:
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:
eng
MeSH:
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
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorPhelan, Den_GB
dc.contributor.authorSmyth, Len_GB
dc.contributor.authorRyder, Men_GB
dc.contributor.authorMurphy, Nen_GB
dc.contributor.authorO'Loughlin, Cen_GB
dc.contributor.authorConlon, Cen_GB
dc.contributor.authorLedwidge, Men_GB
dc.contributor.authorMcDonald, Ken_GB
dc.date.accessioned2012-02-01T10:32:08Z-
dc.date.available2012-02-01T10:32:08Z-
dc.date.issued2012-02-01T10:32:08Z-
dc.identifier.citationIr J Med Sci. 2009 Jun;178(2):167-71. Epub 2009 May 1.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid19408042en_GB
dc.identifier.doi10.1007/s11845-009-0332-6en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207586-
dc.description.abstractBACKGROUND: 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.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.mesh*Disease Managementen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHeart Failure/*prevention & controlen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshLength of Stayen_GB
dc.subject.meshMaleen_GB
dc.subject.meshPatient Readmission/*statistics & numerical dataen_GB
dc.subject.meshPrognosisen_GB
dc.subject.meshProgram Evaluationen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshRisk Factorsen_GB
dc.titleCan we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?en_GB
dc.contributor.departmentHeart Failure Unit, St Vincent's University Hospital, Elm Park, Dublin 4,, Ireland.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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