Impact of early follow-up from primary care on 30 days readmission after heart failure hospitalization

被引:0
|
作者
Aguilar-Rodriguez, F. [1 ]
Lemes, M. Pessacg [2 ]
Carrillo, J. Alonso [3 ]
Baguda, J. de Juan [4 ,5 ,6 ]
机构
[1] Hosp Univ 12 Octubre, Serv Med Interna, Unidad Insuficiencia Cardiaca, Madrid, Spain
[2] Ctr Salud San Andres, Med Familia & Comunitaria, Madrid, Spain
[3] Hosp Univ 12 Octubre, Serv Med Interna, Madrid, Spain
[4] Hosp Univ 12 Octubre, Inst Invest Sanit Hosp Octubre 12 imas12, Serv Cardiol, Madrid, Spain
[5] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Cardiovasc CIBE, Madrid, Spain
[6] Univ Europea Madrid, Fac Biomed & Hlth Sci, Dept Med, Madrid, Spain
来源
MEDICINA DE FAMILIA-SEMERGEN | 2023年 / 49卷 / 02期
关键词
Heart failure; Discharge planning; Avoidable readmission; Transitions of care; Primary care;
D O I
10.1016/j.semerg.2022.101911
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Reducing heart failure (HF) admissions is one of the main objectives in disease control, due to its impact on prognosis and costs. The transitional models at discharge are imposed as a strategy capable of reducing hospitalizations, most of them based on specific hospital units. We analyzed the impact of the primary care (PC) post-discharge follow-up.Material and methods: Retrospective observational study at the referral area of a tertiary hos-pital. Linear regression analysis was performed between early follow-up from the PC center after HF admission rate and the 30-day all-cause readmission rate throughout 2021.Results: The degree of follow-up from PC after hospital discharge for heart failure is associated with fewer 30-day readmissions for all causes (Pearson's R = 0.53, P = .02); with a decrease of 20%, similar to that observed when it is performed from other care facilities and which is maintained when adjusting for the complexity of the patients.Conclusions: PC heart failure post-discharge follow-up could be effective in reducing hospita-lizations, and is complementary to that carried out by hospital units.(c) 2022 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Published by Elsevier Espana, S.L.U. All rights reserved.
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