Lower mortality seen for cardiac care at top-ranked hospitals

November 29, 2018

(HealthDay)—Compared with nonranked hospitals, top-ranked hospitals have lower 30-day mortality but similar or higher readmission rates for cardiovascular conditions, according to a study published online Nov. 28 in JAMA Cardiology.

David E. Wang, M.D., from Brigham and Women's Hospital in Boston, and colleagues conducted a cross-sectional study involving 3,552 U.S. hospitals to examine whether US News & World Report top-ranked hospitals for cardiology and perform better than nonranked hospitals on and readmission measures.

The researchers found that compared with 3,502 nonranked hospitals, the 50 top-ranked hospitals had lower 30-day mortality rates for (AMI; 11.9 versus 13.2 percent; P < 0.001), heart failure (0.5 versus 11.9 percent; P < 0.001), and grafting (CABG; 2.3 versus 3.3 percent; P < 0.001). Compared with nonranked hospitals, the 50 top-ranked hospitals had similar readmission rates for AMI (16.7 versus 16.5 percent; P = 0.64) and CABG (14.1 versus 13.7 percent; P = 0.15) and higher rates for (21 versus 19.2 percent; P < 0.001). Compared with nonranked hospitals, the top-ranked hospitals had higher patient satisfaction (3.9 versus 3.3; P < 0.001).

"It is possible that top-ranked and nonranked hospitals have focused substantial resources on reducing readmissions rather than mortality rates given the financial push of the Hospital Readmission Reduction Program, which resulted in generally similar readmission rates but disparate mortality rates between these hospital groups," the authors write.

Two authors disclosed financial ties to the pharmaceutical industry.

Explore further: Lower hospital mortality for acute MI during heart meeting

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

Related Stories

Lower hospital mortality for acute MI during heart meeting

March 15, 2018
(HealthDay)—Thirty-day mortality is lower for hospitalization with acute myocardial infarction during Transcatheter Cardiovascular Therapeutics meeting dates, according to a study published online March 9 in the Journal ...

Every day spent in the hospital, readmission likelihood increases by 2.9 percent in rural cities

October 1, 2018
Hospital readmissions, cost hospitals about $26 billion annually. Systems like the Hospital Readmission Reduction Program (HRRP) within the Affordable Care Act penalize hospitals with higher readmission rates for targeted ...

Hospital quality independently impacts readmission rates

September 15, 2017
(HealthDay)—Hospital quality contributes to readmission rates independent of factors involving patients, according to a study published in the Sept. 14 issue of the New England Journal of Medicine.

Study compares outcomes at VA hospitals vs. non-VA hospitals

February 9, 2016
Among older men with heart attack, heart failure or pneumonia, hospitalization at Veterans Affairs (VA) hospitals, compared with hospitalization at non-VA hospitals, was associated with lower 30-day all-cause mortality rates ...

For-profit hospitals correlated with higher readmission rates

September 19, 2018
Patients who receive care in a for-profit hospital are more likely to be readmitted than those who receive care in nonprofit or public hospitals, according to a new study published by University of Illinois at Chicago researchers.

Medicare program linked with reduced black-white disparities in hospital readmissions

April 2, 2018
A Medicare program that penalizes hospitals for high readmission rates was associated with a narrowing of readmission disparities between black and white patients and between minority-serving hospitals and other hospitals ...

Recommended for you

Can stem cells help a diseased heart heal itself? Researchers achieve important milestone

December 14, 2018
A team of Rutgers scientists, including Leonard Lee and Shaohua Li, have taken an important step toward the goal of making diseased hearts heal themselves—a new model that would reduce the need for bypass surgery, heart ...

Higher risk of heart attack on Christmas Eve

December 12, 2018
The risk of heart attack peaks at around 10pm on Christmas Eve, particularly for older and sicker people, most likely due to heightened emotional stress, finds a Swedish study in this week's Christmas issue of The BMJ.

Your weight history may predict your heart failure risk

December 12, 2018
In a medical records analysis of information gathered on more than 6,000 people, Johns Hopkins Medicine researchers conclude that simply asking older adult patients about their weight history at ages 20 and 40 could provide ...

Age is the biggest risk for heart disease, but lifestyle and meds have impact

December 12, 2018
Of all the risk factors for heart disease, age is the strongest predictor of potential trouble.

New understanding of mysterious 'hereditary swelling'

December 12, 2018
For the first time ever, biomedical researchers from Aarhus University, Denmark, report cellular defects that lead to a rare disease, hereditary angioedema (HAE), in which patients experience recurrent episodes of swelling ...

Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes

December 11, 2018
Researchers have found that incidence of heart failure was around two-fold higher in people with diabetes.

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.