Repeat heart attack and death linked to hospitals with low care scores

heart
3D Model of the heart by Dr. Matthew Bramlet. Credit: NIH

Heart attack patients treated at hospitals with low care scores are at greater risk for another heart attack and/or death due to cardiovascular causes, Rutgers researchers found.

Their study, published in the American Journal of Cardiology, compared care scores in the New Jersey Hospital Performance Reports with one-month and one-year rates of readmission for or death due to cardiovascular causes.

Researchers reviewed the of more than 160,000 patients at 80 New Jersey acute care hospitals from 2004 to 2015.

In low-scoring hospitals, 3 percent of returned to the hospital for a new heart attack within 30 days. At one year, 13 percent were readmitted and about 8 percent died from cardiovascular causes.

Patients who were admitted to a had a 25 percent lower chance of readmission at one month. At one year, the chance of these patients suffering cardiovascular death was 10 percent lower than patients initially admitted to a non-teaching hospital.

The study found a higher risk for a new heart attack and/or death among patients with conditions including acute heart failure, high blood pressure or chronic obstructive pulmonary disease. But those risks were reduced in patients who were treated at a teaching hospital.

"Hospital performance scores have real health implications for patients who have had a heart attack," said lead author William Kostis, an associate professor at Rutgers Robert Wood Johnson Medical School's Cardiovascular Institute. "We already knew that the scores affect patients' choices. When asked to prioritize hospital cost or hospital safety, patients prefer the safer 97 percent of the time, regardless of cost."

Kostis noted that can reduce the risk of death or recurrence of heart attack by calling them after discharge to assess whether they are taking their medications as prescribed.


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More information: Georgia Barbayannis et al, Relation Between Statewide Hospital Performance Reports on Myocardial Infarction and Cardiovascular Outcomes, The American Journal of Cardiology (2019). DOI: 10.1016/j.amjcard.2019.02.016
Journal information: American Journal of Cardiology

Provided by Rutgers University
Citation: Repeat heart attack and death linked to hospitals with low care scores (2019, March 26) retrieved 17 October 2019 from https://medicalxpress.com/news/2019-03-heart-death-linked-hospitals-scores.html
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