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Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States

OBJECTIVES: Although postdischarge outpatient follow-up appointments after a hospitalization for heart failure represent a potentially effective strategy to prevent heart failure readmissions, patterns of scheduled follow-up appointments upon discharge are poorly described. We aimed to characterize...

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Autores principales: Goyal, Parag, Sterling, Madeline R, Beecy, Ashley N, Ruffino, John T, Mehta, Sonal S, Jones, Erica C, Lachs, Mark S, Horn, Evelyn M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044983/
https://www.ncbi.nlm.nih.gov/pubmed/27713623
http://dx.doi.org/10.2147/CIA.S113442
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author Goyal, Parag
Sterling, Madeline R
Beecy, Ashley N
Ruffino, John T
Mehta, Sonal S
Jones, Erica C
Lachs, Mark S
Horn, Evelyn M
author_facet Goyal, Parag
Sterling, Madeline R
Beecy, Ashley N
Ruffino, John T
Mehta, Sonal S
Jones, Erica C
Lachs, Mark S
Horn, Evelyn M
author_sort Goyal, Parag
collection PubMed
description OBJECTIVES: Although postdischarge outpatient follow-up appointments after a hospitalization for heart failure represent a potentially effective strategy to prevent heart failure readmissions, patterns of scheduled follow-up appointments upon discharge are poorly described. We aimed to characterize real-world patterns of scheduled follow-up appointments among adult patients with heart failure upon hospital discharge. PATIENTS AND METHODS: This was a retrospective cohort study performed at a large urban academic center in the United States among adults hospitalized with a principal diagnosis of congestive heart failure between January 1, 2013, and December 31, 2014. Patient demographics, administrative data, clinical parameters, echocardiographic indices, and scheduled postdischarge outpatient follow-up appointments were collected. RESULTS: Of the 796 patients hospitalized for heart failure, just over half of the cohort had a scheduled follow-up appointment upon discharge. Follow-up appointments were less likely among patients who were white and had heart failure with preserved ejection fraction and more likely among patients with Medicaid and chronic obstructive pulmonary disease. In an adjusted multivariable regression model, age ≥65 years was inversely associated with a scheduled follow-up appointment upon hospital discharge, despite higher rates of several cardiovascular and noncardiovascular comorbidities. CONCLUSION: Just half of the patients discharged home following a hospitalization for heart failure had a follow-up appointment scheduled, representing a missed opportunity to provide a recommended care transition intervention. Despite a greater burden of both cardiovascular and noncardiovascular comorbidities, older adults (age ≥65 years) were less likely to have a follow-up appointment scheduled upon discharge compared with younger adults, revealing a disparity that warrants further investigation.
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spelling pubmed-50449832016-10-06 Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States Goyal, Parag Sterling, Madeline R Beecy, Ashley N Ruffino, John T Mehta, Sonal S Jones, Erica C Lachs, Mark S Horn, Evelyn M Clin Interv Aging Original Research OBJECTIVES: Although postdischarge outpatient follow-up appointments after a hospitalization for heart failure represent a potentially effective strategy to prevent heart failure readmissions, patterns of scheduled follow-up appointments upon discharge are poorly described. We aimed to characterize real-world patterns of scheduled follow-up appointments among adult patients with heart failure upon hospital discharge. PATIENTS AND METHODS: This was a retrospective cohort study performed at a large urban academic center in the United States among adults hospitalized with a principal diagnosis of congestive heart failure between January 1, 2013, and December 31, 2014. Patient demographics, administrative data, clinical parameters, echocardiographic indices, and scheduled postdischarge outpatient follow-up appointments were collected. RESULTS: Of the 796 patients hospitalized for heart failure, just over half of the cohort had a scheduled follow-up appointment upon discharge. Follow-up appointments were less likely among patients who were white and had heart failure with preserved ejection fraction and more likely among patients with Medicaid and chronic obstructive pulmonary disease. In an adjusted multivariable regression model, age ≥65 years was inversely associated with a scheduled follow-up appointment upon hospital discharge, despite higher rates of several cardiovascular and noncardiovascular comorbidities. CONCLUSION: Just half of the patients discharged home following a hospitalization for heart failure had a follow-up appointment scheduled, representing a missed opportunity to provide a recommended care transition intervention. Despite a greater burden of both cardiovascular and noncardiovascular comorbidities, older adults (age ≥65 years) were less likely to have a follow-up appointment scheduled upon discharge compared with younger adults, revealing a disparity that warrants further investigation. Dove Medical Press 2016-09-26 /pmc/articles/PMC5044983/ /pubmed/27713623 http://dx.doi.org/10.2147/CIA.S113442 Text en © 2016 Goyal et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Goyal, Parag
Sterling, Madeline R
Beecy, Ashley N
Ruffino, John T
Mehta, Sonal S
Jones, Erica C
Lachs, Mark S
Horn, Evelyn M
Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_full Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_fullStr Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_full_unstemmed Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_short Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_sort patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the united states
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5044983/
https://www.ncbi.nlm.nih.gov/pubmed/27713623
http://dx.doi.org/10.2147/CIA.S113442
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