Abstract
Hospital discharge is a high-risk time period, and acute myocardial infarction (AMI) patients often have early readmissions. The authors hypothesized that a multifaceted AMI care coordination program would reduce early hospital readmission rates. The outcomes of patients receiving care coordination (n = 304) were compared to patients receiving standard care (n = 192). Multivariable analyses of the outcomes were conducted by conditional logistic regression of propensity score matched sets. The primary outcome—hospital readmission within 30 days of discharge—occurred in 18% of standard care patients and 11.8% of care coordination patients. Patients receiving care coordination demonstrated a 48% reduction in odds of readmission within 30 days (odds ratio = 0.52; P =.04; 95% CI = 0.28-0.97). These results are the first to demonstrate that inclusion in an AMI-specific care coordination program is associated with a significantly lower risk of 30-day hospital readmission.
Original language | English (US) |
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Pages (from-to) | 481-486 |
Number of pages | 6 |
Journal | American Journal of Medical Quality |
Volume | 33 |
Issue number | 5 |
DOIs | |
State | Published - Sep 1 2018 |
Externally published | Yes |
Keywords
- acute myocardial infarction
- care coordination
- hospital readmission
- transition of care
ASJC Scopus subject areas
- Health Policy