The Impact of a Transition of Care Program on Acute Myocardial Infarction Readmission Rates.
Publication/Presentation Date
1-1-2018
Abstract
Hospital discharge is a high-risk time period, and acute myocardial infarction (AMI) patients often have early readmissions. The authors hypothesized that a multifaceted AMI care coordination program would reduce early hospital readmission rates. The outcomes of patients receiving care coordination (n = 304) were compared to patients receiving standard care (n = 192). Multivariable analyses of the outcomes were conducted by conditional logistic regression of propensity score matched sets. The primary outcome-hospital readmission within 30 days of discharge-occurred in 18% of standard care patients and 11.8% of care coordination patients. Patients receiving care coordination demonstrated a 48% reduction in odds of readmission within 30 days (odds ratio = 0.52; P = .04; 95% CI = 0.28-0.97). These results are the first to demonstrate that inclusion in an AMI-specific care coordination program is associated with a significantly lower risk of 30-day hospital readmission.
Volume
33
Issue
5
First Page
481
Last Page
486
ISSN
1555-824X
Published In/Presented At
Marbach, J. A., Johnson, D., Kloo, J., Vira, A., Keith, S., Kraft, W. K., Margules, N., & Whellan, D. (2018). The Impact of a Transition of Care Program on Acute Myocardial Infarction Readmission Rates. American journal of medical quality : the official journal of the American College of Medical Quality, 33(5), 481–486. https://doi.org/10.1177/1062860618754702
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29374965
Department(s)
Administration and Leadership
Document Type
Article