Abstract 15387: Post-Discharge Follow-Up Within 14 Days Reduces 30-Day Hospital Readmission Rates in Patients With Acute Myocardial Infarction and/or Acutely Decompensated Heart Failure
Introduction: Patients with acute myocardial infarction (MI) and acutely decompensated heart failure (ADHF) are at high risk for readmission to the hospital after discharge. We investigate the hypothesis that patients admitted with acute MI and/or ADHF who have close follow-up after discharge will have lower 30-day readmission rates than those who have delayed follow-up.
Methods: A single-center retrospective chart review was performed. We identified patients who were discharged home from an inpatient cardiology service with a primary diagnosis of acute MI and/or ADHF, and divided them into two cohorts: those with close follow-up (defined as follow-up within 14 days of discharge), and those with delayed follow-up (defined as follow-up after 14 days from discharge). The primary outcome was any hospital readmission within 30 days. The major secondary outcome was any cardiovascular readmission within 30 days. Statistical analysis was performed with GraphPad Prism software.
Results: 233 patients were analyzed. 136 patients had close-follow-up, and 97 patients had delayed follow-up. The 30-day readmission rate was 13.2% for patients with close follow-up and 29.9% for those with delayed follow-up. Patients with close follow-up had a 64% reduction in 30-day readmissions [OR = 0.358 (95% CI 0.185 - 0.692) p = 0.002] and a 64% reduction in 30-day cardiovascular readmissions [OR = 0.357 (95% CI 0.177 - 0.722) p = 0.004] compared to those with delayed follow-up.
Conclusions: In conclusion, patients with acute MI and/or ADHF who received follow-up within 14 days of discharge had significantly fewer 30-day hospital readmissions compared to those who do not follow-up within 14 days.
Author Disclosures: D.W. Lee: None. L. Armistead: None. H. Coleman: None. J. Cicci: None. Z. Deyo: None. M.E. Roth: None.
- © 2016 by American Heart Association, Inc.