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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页数:5
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共 6 条
[1]   SEMERGEN positioning on approaching chronic heart failure in primary care [J].
Castillo Moraga, M. J. ;
Turegano-Yedro, M. ;
Pallares-Carratala, V ;
Seoane-Vicente, M. C. ;
Serrano Cumplido, A. ;
Ruiz-Garcia, A. ;
Martin-Rioobo, E. ;
Escobar-Cervantes, C. ;
Polo-Garcia, J. ;
Barrios, V .
MEDICINA DE FAMILIA-SEMERGEN, 2022, 48 (02) :106-123
[2]   Reduction in hospitalisations and emergency department visits for frail patients with heart failure: Results of the UMIPIC healthcare programme [J].
Cerqueiro, J. M. ;
Gonzalez-Franco, A. ;
Montero-Perez-Barquero, M. ;
Llacer, P. ;
Conde, A. ;
Davila, M. F. ;
Carrera, M. ;
Serrado, A. ;
Suarez, I. ;
Perez-Silvestre, J. ;
Satue, J. A. ;
Arevalo-Lorido, J. C. ;
Rodriguez, A. ;
Herrero, A. ;
Jordana, R. ;
Manzano, L. .
REVISTA CLINICA ESPANOLA, 2016, 216 (01) :8-14
[3]   Recommendations to develop Care Models for patients with Heart Failure (MAIC Project) from macromanagement [J].
Comin-Colet, J. ;
Calero-Molina, E. ;
Corbella, X. ;
Muniz, J. ;
San Saturnino, M. ;
Ibarrola, C. .
JOURNAL OF HEALTHCARE QUALITY RESEARCH, 2022, 37 (02) :100-109
[4]   Efficacy of an Integrated Hospital-primary Care Program for Heart Failure: A Population-based Analysis of 56 742 Patients [J].
Comin-Colet, Josep ;
Maria Verdu-Rotellar, Jose ;
Vela, Emili ;
Cleries, Montse ;
Bustins, Montserrat ;
Mendoza, Lola ;
Badosa, Neus ;
Cladellas, Merce ;
Ferre, Sofia ;
Bruguera, Jordi .
REVISTA ESPANOLA DE CARDIOLOGIA, 2014, 67 (04) :283-293
[5]   Health Care and Nonhealth Care Costs in the Treatment of Patients With Symptomatic Chronic Heart Failure in Spain [J].
Delgado, Juan F. ;
Oliva, Juan ;
Llano, Miguel ;
Pascual-Figal, Domingo ;
Grillo, Jose J. ;
Comin-Colet, Josep ;
Diaz, Beatriz ;
Martinez de La Concha, Leon ;
Marti, Belen ;
Pena, Luz M. .
REVISTA ESPANOLA DE CARDIOLOGIA, 2014, 67 (08) :643-650
[6]   Effectiveness and Factors Determining the Success of Management Programs for Patients With Heart Failure: A Systematic Review and Meta-analysis [J].
Oyanguren, Juana ;
Latorre Garcia, Pedro Maria ;
Torcal Laguna, Jesus ;
Lekuona Goya, Inaki ;
Rubio Martin, Susana ;
Maull Lafuente, Elena ;
Grandes, Gonzalo .
REVISTA ESPANOLA DE CARDIOLOGIA, 2016, 69 (10) :900-914