Heart Failure Outcomes Improve When Readmitted to Same Hospital

HealthDay News — Heart failure patients who are readmitted to the same hospital after their initial treatment are more likely to survive compared to those treated at a different hospital, according to research published in the Journal of the American Heart Association.

Finlay McAlister, MD, a professor of general internal medicine at the University of Alberta in Edmonton, Canada, and colleagues examined readmission data on heart failure patients discharged from Canadian hospitals between 2004 and 2013. Of the 217,039 patients, 18.1% were readmitted within 30 days and 36.9% were readmitted for heart failure. Of all the patients who were sent back to the hospital, 83.2% were readmitted to the hospital where they were first treated and 16.8% were treated at a different hospital.

The patients treated at a new hospital were more likely to be male, younger, living in rural areas, and arrive by ambulance, the researchers noted. After adjusting for other variables, including patients’ age and sex, the investigators found the heart failure patients who were treated at the same hospital were discharged about 1 day sooner and were 11% less likely to die during their hospital stay.

“Patients’ hospital records may not be completed for weeks and they don’t report all of the things that happened during the initial hospitalization. For example, it is not uncommon for heart failure patients to not tolerate, or have adverse responses, to higher doses of some guideline-recommended medications,” McAlister said in a news release from the American Heart Association. “That information rarely appears on discharge summaries, so patients are at risk of the same thing happening if they are admitted to a different hospital.”

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McAlister FA, Youngson E, Kaul P. Patients with heart failure readmitted to the original hospital have better outcomes than those readmitted elsewhere. J Am Heart Assoc. 2017 May 10;6(5). pii: e004892. doi: 10.1161/JAHA.116.004892.