Longer LOS for new heart failure in medicaid patients

March 4, 2014
Longer LOS for new heart failure in medicaid patients

(HealthDay)—Medicaid patients and patients with more comorbidities have a longer length of stay (LOS) for incident heart failure, compared to other hospitalized cases, according to a study published in the January/February issue of the Journal for Healthcare Quality.

Randi E. Foraker, Ph.D., from The Ohio State University in Columbus, and colleagues identified predictors of longer hospital LOS among 1,300 participants in the Atherosclerosis Risk in Communities cohort (1987 to 2005) hospitalized for incident .

The researchers found that Medicaid recipients experienced a longer LOS compared to non-Medicaid recipients (7.5 versus 6.2 days), and with a higher burden of comorbidity had a longer LOS compared to patients with a lower burden (7.5 versus 6.2 days), when adjusting for income, age, gender, race/study community, education level, hypertension, alcohol use, smoking, Medicaid status, and Charlson comorbidity index score. There was no association between LOS and median household income and education, in multivariable models.

"Medicaid recipients and patients with more comorbid disease may not have the resources for adequate, comprehensive, out-of-hospital management of heart failure symptoms, and may require a longer LOS due to the need for more care during the hospitalization because of more severe heart failure," the authors write.

Two authors disclosed financial ties to SRA International and Merck.

Explore further: Inpatient diabetes education linked to lower readmissions

More information: Abstract
Full Text

Related Stories

Inpatient diabetes education linked to lower readmissions

October 18, 2013
(HealthDay)—Inpatients diagnosed with diabetes who receive inpatient diabetes education (IDE) have significantly lower frequency of all-cause hospital readmission within 30 days, according to a study published in the October ...

Support for ultrasound first in pediatric appendicitis diagnosis

December 14, 2013
(HealthDay)—During the transition to an ultrasound-first paradigm for imaging acute appendicitis in pediatric patients, there does not seem to be any increase in complicated appendicitis diagnoses or a longer median hospital ...

Data unclear for heart failure outcomes in US versus Canada

December 14, 2013
(HealthDay)—Evidence for the difference in outcomes for heart failure patients in Canada versus the United States differs depending on the source of the data, according to research published in the December issue of the ...

Deep suctioning in bronchitis admission tied to longer stays

March 8, 2013
(HealthDay)—Deep suctioning used in the first 24 hours after a pediatric admission for bronchitis is associated with increased length of stays (LOS), according to a study published online March 4 in JAMA Pediatrics.

Risk of death, hospital readmission prolonged after heart attack, heart failure

May 16, 2013
Heart attack or heart failure patients may have a high risk of death or re-admission for a month or longer after leaving the hospital, researchers said at the American Heart Association's Quality of Care and Outcomes Scientific ...

Racial / ethnic differences in CHD outcomes not due to statins

February 7, 2014
(HealthDay)—For hospitalized patients with coronary heart disease (CHD), racial and ethnic differences in one-year outcomes are due to demographics and comorbidity, not differential statin prescriptions, according to a ...

Recommended for you

Could aggressive blood pressure treatments lead to kidney damage?

July 18, 2017
Aggressive combination treatments for high blood pressure that are intended to protect the kidneys may actually be damaging the organs, new research from the University of Virginia School of Medicine suggests.

Quantifying effectiveness of treatment for irregular heartbeat

July 17, 2017
In a small proof-of-concept study, researchers at Johns Hopkins report a complex mathematical method to measure electrical communications within the heart can successfully predict the effectiveness of catheter ablation, the ...

Concerns over side effects of statins stopping stroke survivors taking medication

July 17, 2017
Negative media coverage of the side effects associated with taking statins, and patients' own experiences of taking the drugs, are among the reasons cited by stroke survivors and their carers for stopping taking potentially ...

Study discovers anticoagulant drugs are being prescribed against safety advice

July 17, 2017
A study by researchers at the University of Birmingham has shown that GPs are prescribing anticoagulants to patients with an irregular heartbeat against official safety advice.

Protein may protect against heart attack

July 14, 2017
DDK3 could be used as a new therapy to stop the build-up of fatty material inside the arteries

Heart study finds faulty link between biomarkers and clinical outcomes

July 14, 2017
Surrogate endpoints (biomarkers), which are routinely used in clinical research to test new drugs, should not be trusted as the ultimate measure to approve new health interventions in cardiovascular medicine, according to ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.