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Irish Journal of Medical Science

, Volume 178, Issue 2, pp 167–171 | Cite as

Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?

  • D. Phelan
  • L. Smyth
  • M. Ryder
  • N. Murphy
  • C. O’Loughlin
  • C. Conlon
  • M. Ledwidge
  • K. McDonald
Original Article

Abstract

Background

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.

Methods

A retrospective chart search was performed on patients readmitted over a 1-year period.

Results

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.

Conclusion

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.

Keywords

Disease Management Programme Heart failure Preventable and unavoidable readmissions 

Notes

Acknowledgments

The Authors would like to thank the Heartbeat Trust and Health Research Board for financial support.

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Copyright information

© Royal Academy of Medicine in Ireland 2009

Authors and Affiliations

  • D. Phelan
    • 1
  • L. Smyth
    • 1
  • M. Ryder
    • 1
  • N. Murphy
    • 1
  • C. O’Loughlin
    • 1
  • C. Conlon
    • 1
  • M. Ledwidge
    • 1
  • K. McDonald
    • 1
  1. 1.Heart Failure UnitSt Vincent’s University HospitalDublin 4Ireland

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