Navigation Links
Doctors' decisions on initial hospital admissions may affect readmission rates

Researchers compared hospitalization rates and rehospitalization rates of patients admitted for heart attack and for heart failure. Heart attack admissions are considered non-discretionary, whereas, heart failure admissions are considered more discretionary. Hospitalization after heart attack is mandated in treatment guidelines, so physicians have little or no room for discretionary decisions.

Researchers examined Medicare claims data in 306 regions between 2007 and 2009. The results showed no relationship between heart attack hospitalization rates and readmission rates. On the other hand, there was a relationship between heart failure hospitalization rates and readmission rates.

Specifically, regions with higher heart failure hospitalization rates, a discretionary admission condition, tended to have higher readmission rates.

The lowest quintile of heart failure hospitalization rates had a 30-day risk-standardized readmission rate of 23.6 percent and the highest quintile of heart failure hospitalization rate had a 30-day risk standardized readmission rate of 25.7 percent, a significant difference. Between the groups, this represents a 9 percent relative increase.

More research is needed in order to better characterize the relationship between discretionary admission rates and readmission rates, researchers said.

Efforts to reduce readmission rates have been focused on patients' transition home from the hospital. These findings suggest that attention to initial admission practices, especially for discretionary admission conditions, may yield further reduction in readmission rates, researchers said.

Medicare's Hospital Compare website ( allows patients to see the 30-day-risk standard readmission rates for patients at most hospitals in the United States.


Contact: Cathy Lewis
American Heart Association

Page: 1

Related medicine news :

1. Doctors Prescribing Meditation, Yoga More Often
2. Discovery could change the way doctors treat patients with cancer and autoimmune diseases
3. Childrens doctors team up across state lines to fight disease
4. Training future doctors to enlist patients as partners in care
5. Jefferson doctors strengthen case for high-dose radiotherapy technique after radical prostatectomy
6. Doctors Often Wouldnt Follow Their Own Advice: Study
7. Doctors Most Trusted Source of Vaccine Information, Study Finds
8. U-M experts: Parents trust doctors most when it comes to information about vaccine safety
9. Free phone app helped doctors perform better in simulated cardiac emergency
10. Doctors should evaluate liver disease patients for cognitive impairment, address driving safety
11. Doctors Need to Improve Guidance on Arthritis: Study
Post Your Comments:
(Date:6/25/2016)... ... ... closing of Bruton Memorial Library on June 21 due to a possible lice infestation, as ... of head lice: the parasite’s ability to live away from a human host, and to ... one in the event that lice have simply gotten out of control. , As lice ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, ... Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments in ... the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott in ...
(Date:6/24/2016)... ... 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out of ... verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain ... for a minimum wage raise to $12 an hour by 2020 and then adjusting it ... the lost value of the minimum wage, assure the wage floor does not erode again, ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
(Date:6/24/2016)... Mass. , June 24, 2016   ... Spaulding Rehabilitation Network,s Dean Center for Tick ... Physical Medicine and Rehabilitation, MIT Hacking Medicine, University ... for Innovation, today announced the five finalists of ... for Lyme disease.  More than 100 scientists, clinicians, ...
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
Breaking Medicine Technology: