30-Day Readmission Rates in Patients Admitted for Heart Failure Exacerbation with and without Palliative Care Consultation: A Retrospective Cohort Study

Journal of Palliative Medicine

Volumn 20, Issue 2, 2017, Pages 163-169

  Chuang, Elizabeth ^a   Kim, Gina ^b   Blank, Arthur E ^a   Southern, William ^a,c   Fausto, James ^d  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^b CAMBRIDGE HEALTH ALLIANCE   (United States)

^c MONTEFIORE MEDICAL CENTER   (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

cardiology heart failure; health services research; hospital specific palliative care issues; policy and finance issues; statistics

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; CONGESTIVE HEART FAILURE; CONSULTATION; CONTROLLED STUDY; DISEASE EXACERBATION; FEMALE; HEALTH SERVICES RESEARCH; HOSPICE CARE; HOSPITAL READMISSION; HUMAN; LEFT VENTRICULAR ASSIST DEVICE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PALLIATIVE THERAPY; PSYCHOSOCIAL CARE; RETROSPECTIVE STUDY; SOCIAL STATUS; COMPLICATION; ELECTRONIC HEALTH RECORD; HEART FAILURE; PATIENT REFERRAL; PROPENSITY SCORE; TRENDS;

AGED; ELECTRONIC HEALTH RECORDS; FEMALE; HEART FAILURE; HUMANS; MALE; PALLIATIVE CARE; PATIENT READMISSION; PROPENSITY SCORE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES;

EID: 85009727542     PISSN: 10966218     EISSN: 15577740     Source Type: Journal    
DOI: 10.1089/jpm.2016.0305     Document Type: Article

References (39)

1. Teno JM, Gozalo PI, Bynum JPW, et al.: Change in end-oflife care for medicare beneficiaries: Site of death, place of care and health care transitions in 2000, 2005, and 2009. JAMA 2013;309:470-477.
2. Fromme EK, Bascom PB, Smith MD, et al.: Survival, mortality, and location of death for patients seen by a hospital-based palliative care team. J Palliat Med 2006;9: 903-911.
3. Retrum JH, Boggs J, Hersh A, et al.: Patient-identified factors related to heart failure readmissions. Circ Cardiovasc Qual Outcomes 2013;6:171-177.
4. Hansen LO, Young RS, Hinami K, et al.: Inerventions to reduce 30-day rehospitalization: A systematic review. Ann Intern Med 2011;155:520-528.
5. Nelson C, Chang P, Sortais J, et al.: Inpatient palliative care consults and the probability of hospital readmission. Perm J 2011;15:48-51.
6. Feigenbaum P, Neuwirth E, Trowbridge L, et al.: Factors contributing to all-cause 30-day readmission. Med Care 2012;50:599-605.
7. Jencks SF, Williams MV, Coleman EA: Rehospitalizations among patients in the medicare fee-for-service program. N Engl J Med 2009;360:1428-1428.
8. Hogan C, Lunney J, Gabel J, Lynn J: Medicare beneficiaries' costs of care in the last year of life. Health Aff 2001; 20:188-195.
9. Aspenson M, Hazay S: The clock is ticking on readmission penalties. Healthc Financ Manage 2012;66:58-63.
10. New York State Department of Health. New York State Delivery System Reform Incentive Payment (DSRIP) Program. 2015. www.health.ny.gov/health-care/medicaid/redesign/dsrip/(Last accessed November 18, 2015).
11. Enguidanos S, Vesper E, Lorenz K: 30-Day readmissions among seriously ill older adults. J Palliat Med 2012;15: 1-6.
12. Gade G, Venohr I, Conner D, et al.: Impact of an inpatient palliative care team: A randomized controlled trial. J Palliat Med 2008;11:180-190.
13. O'Connor NR, Moyer ME, Behta M, Casarett DJ: The impact of inpatient palliative care consultations on 30-day hospital readmissions. J Palliat Med 2015;18:956-961.
14. Sidebottom AC, Jorgenson A, Richards H, et al.: Inpatient palliative care for patients with acute heart failure: Outcomes from a randomized trial. J Palliat Med 2015;18:134-142.
15. Chuang E, Fausto J: Effect of inpatient palliative care consultation on CMS-based 30-day readmission rates: A retrospective Cohort study. Paper presented at American Academy of Hospice and Palliative Medicine Annual Meeting 2014, San Diego.
16. Garrido MM: Propensity scores: A practical method for assessing treatment effects in pain and symptom management research. J Pain Symptom Manage 2014;48:711-718.
17. Garrido MM, Kelley AS, Paris J, et al.: Methods for constructing and assessing propensity scores. Health Serv Res 2014;49:1701-1720.
18. Horwitz L, Lin Z, Herrin J, et al.: Hospital-wide all-cause risk-standardized readmission measure: Measure methodology report. In: US Centers for Medicare and Medicaid Services. New Haven, Connecticut: Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation, 2011.
19. Southern WN, Nahvi S, Arnsten JH: Increased risk of mortality and readmission among patients discharged against medical advice. Am J Med 2012;125:594-602.
20. Penrod JD, Deb P, Luhrs C, et al.: Cost and utilization outcomes of patients receiving hospital-based palliative care consultation. J Palliat Med 2006;9:855-860.
21. Penrod JD, Deb P, Dellenbaugh C, et al.: Hospital-based palliative care consultation: Effects on hospital cost. J Palliat Med 2010;13:973-979.
22. Silverstein MD, Qin H, Mercer Q, et al.: Risk factors for 30-day hospital readmission in patients >/= 65 years of age. Proc (Bayl Univ Med Cent) 2008;21:363-372.
23. Allaudeen N, Vidyarthi A, Maselli J, Auerbach A: Redefining readmission risk factors for general medicine patients. J Hosp Med 2011;6:54-60.
24. Jiang HJ, Andrews R, Stryer D, Friedman B: Racial/ethnic disparities in potentially preventable readmissions: The case of diabetes. Am J Public Health 2005;95:1561-1567.
25. Joynt KE, Orav EJ, Jha AK: Thirty-day readmission rates for medicare beneficiaries by race and site of care. JAMA 2011;305:675-681.
26. Khawaja FJ, Shah ND, Lennon RJ, et al.: Factors associated with 30-day readmission rates after percutaneous coronary intervention. Arch Intern Med 2012;172:112-117.
27. Hall WH, Ramachandran R, Narayan S, et al.: An electronic application for rapidly calculating Charlson comorbidity score. BMC Cancer 2004;4:94.
28. Shu C-C, Lin Y-F, Hsu N-C, Ko W-J: Risk factors for 30-day readmission in general medical patients admitted from the emergency department: A single centre study. Intern Med J 2011;42:677-682.
29. Kansagara D, Englander H, Salanitro A, et al.: Risk prediction models for hospital readmission: A systematic review. JAMA 2011;306:1688-1698.
30. Dunlay SM, Weston SA, Killian JM, et al.: Thirty-day rehospitalizations after acute myocardial infarction: A cohor study. Ann Intern Med 2012;157:11-18.
31. Hasan O, Meltzer DO, Shaykevich SA, et al.: Hospital readmission in general medicine patients: A prediction model. J Gen Intern Med 2009;25:211-219.
32. Rubin DB: For objective causal inference, design trumps analysis. Ann Appl Stat 2008;2:808-840.
33. Gomez-Batiste X, Porta-Sales J, Paz S, Stjernsward J: Palliative medicine: Models of organization. In: Walsh D, Caraceni AT, Fainsinger R, et al. (eds). Palliative Medicine, 1 edn. Philadelphia, PA: Saunders, Elsevier, 2009, pp. 23-29.
34. Hauser JM, Bonow RO: Heart failure and palliative care. In: Emanuel LL, Librach SL (eds). Palliative Care, 2nd ed., Elsevier Saunders, St. Louis, MO, 2011, pp. 391-404.
35. Lunney JR, Lynn J, Foley DJ, et al.: Patterns of functional decline at the end of life. JAMA 2003;289:2387-2392.
36. Goodlin SJ, Hauptman PJ, Arnold R, et al.: Consensus statement: Palliative and supportive care in advanced heart failure. J Card Fail 2004;10:200-209.
37. Levenson JW, McCarthy EP, Lynn J, et al.: The last six months of life for patients with congestive heart failure. J Am Geriatr Soc 2000;48:S101-109.
38. Felker M, O'Connor CM: Inotropic therapy for heart failure: An evidence-based approach. Am Heart J 2001;142: 393-401.
39. Jiang H, Weiss A, Barrett M, Sheng M: Characteristics of hospital stays for super-utilizers by payer, 2012: HCUP statistical brief #190. 2015; www.hcup-us.ahrq.gov/reports/statbriefs/sb190-Hospital-Stays-Super-Utilizers-Payer-2012 .pdf (Last accessed May 9, 2016).