Part D enrollment doesn't improve outcomes after AMI

Part D enrollment doesn't improve outcomes after AMI

(HealthDay)—For patients with acute myocardial infarction (AMI), enrollment in Part D by hospital discharge is not associated with improved outcomes, according to a study published online Oct. 27 in Circulation: Cardiovascular Quality and Outcomes.

Abhinav Goyal, M.D., from the Emory University School of Medicine in Atlanta, and colleagues describe trends in Medicare Part D enrollment in 59,149 Medicare beneficiaries discharged after AMI. After adjustment for patient and hospital factors, the authors compared 30-day and one-year outcomes (all-cause death, all-cause readmissions, and major adverse ) among Part D enrollees (49.5 percent) and non-enrollees.

The researchers found that enrollees more often had all-cause 30-day death (4.0 versus 3.3 percent), but after multivariable adjustment this association was not statistically significant (adjusted hazard ratio, 1.06; 95 percent confidence interval, 0.97 to 1.17). The unadjusted risks for 30-day all-cause readmission or major cardiac events, and for one-year mortality, all-cause readmission, or major adverse cardiac events, were also increased for enrollees, but after multivariable adjustment these correlations were attenuated. Among Part D enrollees, secondary prevention medication adherence remained low at one year post-discharge.

"Only half of Medicare-insured patients with AMI were enrolled in Part D by , and their 30-day and one-year adjusted outcomes did not differ substantially from non-enrollees," the authors write. "There remain opportunities for improvement in medication adherence among patients with ."


Explore further

Weekend discharge not linked to increased readmission

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

Copyright © 2015 HealthDay. All rights reserved.

Citation: Part D enrollment doesn't improve outcomes after AMI (2015, October 29) retrieved 2 June 2020 from https://medicalxpress.com/news/2015-10-d-enrollment-doesnt-outcomes-ami.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
5 shares

Feedback to editors

User comments