Same-hospital readmission associated with improved outcomes in heart failure
Readmission to the same hospital is associated with improved outcomes, including in-hospital mortality, in patients with heart failure.
In a study that included 94,988 patients with heart failure with preserved ejection fraction readmitted within 30 days, same-hospital readmission was associated with better outcomes vs different-hospital readmission, including in-hospital mortality (6.23 vs 8.07 percent), length of stay (6.3 vs 7.47 percent), and cost of care (USD 14,042 vs 18,685). [Patel N, et al, AHA 2017, poster S3222]
“The number needed to treat for mortality was 74 patients, and up to USD 100 million could have been saved over a 2-year period,” the researchers reported. “Considering the scale of the problem and the limited options available to prevent worse outcomes, simple interventions such as redirecting patients to the same hospital as their previous admission would be beneficial.”
Another study of 277,476 heart failure 30-day readmissions showed similar results. Patients readmitted to the same hospital were found to have lower in-hospital mortality (5.93 vs 7.53 percent; p<0.001), shorter length of stay (6.3 vs 7.47 days; p<0.001) and lower cost of care (USD 15,067 vs USD 19,866; p<0.001) than patients readmitted to a different hospital. [Arora S, et al, AHA 2017, poster S3225]