Early alert intervention cuts heart failure readmission

January 26, 2015

Early alert intervention cuts heart failure readmission
(HealthDay)—An electronic medical record system, designed to identify patients who have been discharged from heart failure hospitalization and present in the emergency department, can prevent readmissions, according to a study published in The American Journal of Medicine.

Azam Hadi, M.D., from the Indiana University School of Medicine in Indianapolis, and colleagues conducted a involving patients admitted with a diagnosis of heart failure between February 2011 and January 2013. Patients were tagged on discharge from hospital and were then identified during registration in the within 30 days. An advanced provider was dispatched to the emergency department to initiate aggressive diagnostics and therapy toward avoidance of readmission. Readmission was compared before and after implementation of the early readmission alert intervention.

The researchers observed a significant decrease in the 30-day heart failure readmission rate in the early readmission alert intervention group versus the pre-implementation group (17.3 versus 23.2 percent; P = 0.003). In the implementation group, there was an increase in admissions to the observation unit (from 2.3 to 4.1 percent; P = 0.045). Over time, there was also a decrease in the monthly percentage of heart failure readmissions out of all hospital readmissions.

"The emergency department early readmission alert is comparable to other strategies of decreasing readmissions and may be evaluated in larger trials and quality improvement programs," the authors write.

Explore further: Device data can ID heart failure patients at readmission risk

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Device data can ID heart failure patients at readmission risk

October 15, 2012
(HealthDay)—The use of device diagnostics to risk stratify patients during the first seven days after discharge can help identify patients at greatest risk of readmission for heart failure, according to research published ...

Rehospitalization in younger patients

September 30, 2014
Older adults often are readmitted after hospitalization for heart failure, pneumonia, and acute myocardial infarction, a significant issue that has caused Medicare to target hospitals with high 30-day readmission rates for ...

Role of chronic medical conditions in readmissions

December 23, 2013
Researchers cite identification and monitoring of known underlying chronic medical conditions as opportunities to reduce readmission rates and improve patient safety.

Big city hospitals severely penalized for Medicare readmissions

November 17, 2014
Big city hospitals in the United States have been severely penalized for readmission of patients with heart attacks, heart failure and pneumonia, according to research presented at the American Heart Association's Scientific ...

One in six lupus patients readmitted to hospital within 30 days of discharge

August 11, 2014
A new study reveals that one in six patients with systemic lupus erythematosus (SLE) is readmitted to the hospital within 30 days of being discharged. Results published in Arthritis & Rheumatology, a journal of the American ...

Frequent in-person home visits can reduce both readmission and death for patients with heart failure

May 28, 2014
Home-visiting programs and multidisciplinary heart failure clinic interventions can reduce hospital readmission and improve survival for patients with heart failure, according to research from RTI International and the University ...

Recommended for you

Genetic analysis links obesity with diabetes, coronary artery disease

November 16, 2018
A Cleveland Clinic genetic analysis has found that obesity itself, not just the adverse health effects associated with it, significantly increases the risk of Type 2 diabetes and coronary artery disease. The paper was published ...

Non-coding genetic variant could improve key vascular functions

November 15, 2018
Atherosclerotic disease, the slow and silent hardening and narrowing of the arteries, is a leading cause of mortality worldwide. It is responsible for more than 15 million deaths each year, including an estimated 610,000 ...

Study of two tribes sheds light on role of Western-influenced diet in blood pressure

November 14, 2018
A South American tribe living in near-total isolation with no Western dietary influences showed no increase in average blood pressure from age one to age 60, according to a study led by researchers at Johns Hopkins Bloomberg ...

Heart failure patients shouldn't stop meds even if condition improves: study

November 13, 2018
(HealthDay)—There's bad news for heart failure patients with dilated cardiomyopathy who'd like to stop taking their meds.

Bypass beats stents for diabetics with heart trouble: study

November 13, 2018
(HealthDay)—People with both diabetes and multiple clogged heart arteries live longer if they undergo bypass surgery rather than have their blood vessels reopened with stents, according to follow-up results from a landmark ...

New treatment significantly reduces cardiovascular events when combined with statins

November 12, 2018
Statins are the most commonly used treatment for cardiovascular disease. Despite reducing certain risk factors, if triglyceride levels remain high with use of statins, there is still a significant risk for heart attack, stroke ...


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.