Purpose Previous studies reported reduced risk of readmission, mortality and shorter length hospital stay (LOS) among geriatric patients receiving an early (<24h), hospital-based team intervention after discharge. The objective this study was to compare a novel, municipality-based, nurse-led general practitioner (GP)-supported transitional care (TCI) established TCI frail, older, patients. Mate...

BackgroundSocial determinants of health, including neighborhood socioeconomic status (NSES), are increasingly being associated with disparate outcomes in those undergoing cardiac procedures. The objective this study was to determine the effect NSES on after coronary artery bypass grafting (CABG).MethodsAdults isolated CABG between July 2011 and December 2017 were retrospectively reviewed. Neigh...

BACKGROUND Primary health care is essential for an appropriate management of heart failure (HF), a disease which is a major clinical and public health issue and a leading cause of hospitalization. The aim of this study was to evaluate the impact of different organizational factors on readmissions of patients with HF. METHODS The study population included elderly resident in the Local Health A...

BACKGROUND The results of research into the outcomes of physical rehabilitation and its relationship with post-myocardial ischaemia survival and readmissions are inconclusive. Our primary aim was to evaluate the efficacy of a supervised exercise training programme in terms of decreasing hospital cardiac readmission in patients with myocardial ischaemia. METHODS We conducted a randomised contr...

BACKGROUND The postdischarge period is a vulnerable time for patients, with high rates of adverse events that may cause unnecessary readmissions, especially in the elderly. Because postdischarge care continuity is often interrupted after hospitalist care, close follow-up may decrease patient readmission. In this study, we aimed to investigate the impact of a quality improvement program, integra...

BACKGROUND Cardiac resynchronization therapy with defibrillator (CRT-D) reduces morbidity and mortality among selected patients with heart failure in clinical trials. The effectiveness of this therapy in clinical practice has not been well studied. METHODS AND RESULTS We compared a cohort of 4471 patients from the National Cardiovascular Data Registry's Implantable Cardioverter-Defibrillator ...

The purpose of this study was to identify patient, intensive care and ward-based risk factors for early, unplanned readmission to the intensive care unit. A five-year retrospective case-control study at a tertiary referral teaching hospital of 205 cases readmitted within 72 hours of intensive care unit discharge and 205 controls matched for admission diagnosis and severity of illness was conduc...

OBJECTIVE To quantify the limitations associated with restricting readmission metrics to same-hospital only readmission. DESIGN Using 2000-2009 California Office of Statewide Health Planning and Development Patient Discharge Data Nonpublic file, we identified the proportion of 7-, 15- and 30-day readmissions occurring to the same hospital as the initial admission using All-cause Readmission (...

SETTING Massachusetts General Hospital embarked on a 4-year project to reduce readmissions in a high volume general medicine unit (November 2009 to September 2013). OBJECTIVE To reduce 30-day readmissions to 10% through improved care coordination. DESIGN As a before-after study, a total of 7586 patients admitted to the medicine unit during the intervention period included 2620 inpatients me...

BACKGROUND Leaving hospital against medical advice may have adverse consequences. Previous studies have been limited by evaluating specific types of patients, small sample sizes and incomplete determination of outcomes. We hypothesized that leaving hospital against medical advice would be associated with increases in subsequent readmission and death. METHODS In a population-based analysis inv...