Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?
- 209 Downloads
Disease Management Programmes (DMPs) are successful in reducing hospital readmissions in heart failure (HF). However, there remain a number of patients enrolled in a DMP who are readmitted with HF. The primary aim of the study was to determine the proportion of preventable readmissions (PR). The secondary aim was to recognise patient characteristics which would identify certain patients at risk of having a PR.
A retrospective chart search was performed on patients readmitted over a 1-year period.
38.5% of readmissions were classified as PR. None of these patients made prior contact with the DMP. Admission levels of BNP, potassium, urea and creatinine were significantly lower in the PR group.
DMP have proven benefits in reducing hospital readmission nonetheless a significant proportion of these readmissions are preventable. Further work is required to prospectively analyse why these patients fail to contact the DMP.
KeywordsDisease Management Programme Heart failure Preventable and unavoidable readmissions
The Authors would like to thank the Heartbeat Trust and Health Research Board for financial support.
- 1.Swedberg K, Cleland J, Dargie H et al (2005) Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology. Eur Heart J 26(11):1115–1140PubMedCrossRefGoogle Scholar
- 4.The Task Force on Heart Failure of the European Society of Cardiology (1995) Guidelines for the diagnosis of heart failure. Eur Heart J 16(6):741–751Google Scholar
- 13.Bassand JP, Hamm CW, Ardissino D et al (2007) Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: The Task Force for the Diagnosis and Treatment of Non-ST-Segment Elevation Acute Coronary Syndromes of the European Society of Cardiology. Eur Heart J 28(13):1598–1660PubMedCrossRefGoogle Scholar
- 18.Del Sindaco D, Pulignano G, Minardi G et al (2007) Two-year outcome of a prospective, controlled study of a Disease Management Programme for elderly patients with heart failure. J Cardiovasc Med (Hagerstown) 8(5):324–329Google Scholar
- 20.McDonald K, Ledwidge M, Cahill J et al (2001) Elimination of early rehospitalization in a randomized, controlled trial of multidisciplinary care in a high-risk, elderly heart failure population: the potential contributions of specialist care, clinical stability and optimal angiotensin-converting enzyme inhibitor dose at discharge. Eur J Heart Fail 3(2):209–215PubMedCrossRefGoogle Scholar