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Association of post-discharge specialty outpatient visits with readmissions and mortality in high-risk heart failure patients

American Heart Journal Mar 27, 2019

Edmonston DL, et al. - Researchers investigated how outcomes in high-risk heart failure (HF) patients were influenced by early specialty or primary care provider (PCP) follow-up post-HF discharge. They assessed 90-day HF readmission as well as 90-day and 1-year all-cause mortality in relation to medical specialist visit within 14 days of discharge stratified by comorbidity. They analyzed patients discharged from a Get With The Guidelines HF-participating hospital from 2007–2012 with linked Medicare claims. A 35% and 29% reduction in 90-day HF readmission were reported in relation to Nephrologist visit and Pulmonologist visit, respectively. Reduced 90-day mortality was observed in relation to PCP and Cardiologist visits in patients who had no key comorbidity. A 42% attenuation of 90-day mortality was reported in patients with diabetes mellitus (DM) in association with Endocrinologist visit. Overall, an improved 90-day HF readmission and mortality could be achieved in certain high-risk groups of patients with HF, via specialist and PCP visit in the immediate post-discharge period.
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