Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/23090
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dc.contributor.authorDriscoll, Andrea-
dc.contributor.authorDinh, Diem-
dc.contributor.authorPrior, David-
dc.contributor.authorKaye, David-
dc.contributor.authorHare, David L-
dc.contributor.authorNeil, Christopher-
dc.contributor.authorLockwood, Siobhan-
dc.contributor.authorBrennan, Angela-
dc.contributor.authorLefkovits, Jeff-
dc.contributor.authorCarruthers, Harriet-
dc.contributor.authorAmerena, John-
dc.contributor.authorCooke, Jennifer C-
dc.contributor.authorVaddadi, Gautam-
dc.contributor.authorNadurata, Voltaire-
dc.contributor.authorReid, Christopher M-
dc.date2020-04-10-
dc.date.accessioned2020-05-05T23:59:23Z-
dc.date.available2020-05-05T23:59:23Z-
dc.date.issued2020-04-10-
dc.identifier.citationHeart, Lung & Circulation 2020; online first: 10 Aprilen_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/23090-
dc.description.abstractPatients 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.en_US
dc.language.isoeng-
dc.subjectHeart failureen_US
dc.subjectMortalityen_US
dc.subjectRegistryen_US
dc.subjectTransitional careen_US
dc.titleThe Effect of Transitional Care on 30-Day Outcomes in Patients Hospitalised With Acute Heart Failure.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleHeart, Lung & Circulationen_US
dc.identifier.affiliationSchool of Medicine, Monash University, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationCardiologyen_US
dc.identifier.affiliationDepartment of Cardiology, Eastern Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Public Health, Curtin University, Perth, WA, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Bendigo Health, Bendigo,Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Northern Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Western Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Medicine, University of Melbourne, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Barwon Health, Geelong, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Monash Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationHeart Failure Research Group, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Alfred Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, St Vincents Hospital, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Nursing and Midwifery, Deakin University, Geelong, Victoria, Australiaen_US
dc.identifier.doi10.1016/j.hlc.2020.03.004en_US
dc.type.contentTexten_US
dc.identifier.pubmedid32359870-
dc.type.austinJournal Article-
local.name.researcherDriscoll, Andrea
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
crisitem.author.deptCardiology-
crisitem.author.deptCardiology-
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