Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/23090
Title: The Effect of Transitional Care on 30-Day Outcomes in Patients Hospitalised With Acute Heart Failure.
Authors: Driscoll, Andrea;Dinh, Diem;Prior, David;Kaye, David;Hare, David L;Neil, Christopher;Lockwood, Siobhan;Brennan, Angela;Lefkovits, Jeff;Carruthers, Harriet;Amerena, John;Cooke, Jennifer C;Vaddadi, Gautam;Nadurata, Voltaire;Reid, Christopher M
Affiliation: School of Medicine, Monash University, Melbourne, Victoria, Australia
Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia
Department of Cardiology, Eastern Health, Melbourne, Victoria, Australia
School of Public Health, Curtin University, Perth, WA, Australia
Department of Cardiology, Bendigo Health, Bendigo,Victoria, Australia
Department of Cardiology, Northern Health, Melbourne, Victoria, Australia
Department of Cardiology, Western Health, Melbourne, Victoria, Australia
School of Medicine, University of Melbourne, Melbourne, Victoria, Australia
Department of Cardiology, Barwon Health, Geelong, Victoria, Australia
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Department of Cardiology, Monash Health, Melbourne, Victoria, Australia
Department of Cardiology, Austin Health, Melbourne, Victoria, Australia
Heart Failure Research Group, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
Department of Cardiology, Alfred Health, Melbourne, Victoria, Australia
Department of Cardiology, St Vincents Hospital, Melbourne, Victoria, Australia
School of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australia
Issue Date: 10-Apr-2020
EDate: 2020-04-10
Citation: Heart, lung & circulation 2020; online first: 10 April
Abstract: Patients admitted to hospital with acute heart failure (AHF) are at increased risk of readmission and mortality post-discharge. The aim of the study was to examine health service utilisation within 30 days post-discharge from an AHF hospitalisation. This was a prospective, observational, non-randomised study of consecutive patients hospitalised with acute HF to one of 16 Victorian hospitals over a 30-day period each year and followed up for 30 days post-discharge. The project was conducted annually over three consecutive years from 2015 to 2017. Of the 1,197 patients, 56.3% were male with an average age of 77±13.23 years. Over half of the patients (711, 62.5%) were referred to an outpatient clinic and a third (391, 34.4%) to a HF disease management program. In-hospital mortality was 5.1% with 30 day-mortality of 9% and readmission rate of 24.4%. Patients who experienced a subsequent readmission less than 10 days post-discharge and between 11 and 20 days post-discharge had a five- to six-fold increase in risk of mortality (adjusted OR 5.02, 95% CI 2.11-11.97; OR 6.45, 95% CI 2.69-15.42; respectively) compared to patients who were not readmitted to hospital. An outpatient appointment within 30 days post-discharge significantly reduced the risk of 30-day mortality by 81% (95% CI 0.09-0.43). Patients admitted to hospital with AHF who experience a subsequent readmission within 20 days post-discharge are at increased risk of dying. However, early follow-up post-discharge may reduce this risk. Early post-discharge follow-up is vital to address this vulnerable period after a HF admission.
URI: http://ahro.austin.org.au/austinjspui/handle/1/23090
DOI: 10.1016/j.hlc.2020.03.004
PubMed URL: 32359870
Type: Journal Article
Subjects: Heart failure
Mortality
Registry
Transitional care
Appears in Collections:Journal articles

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