Associations Between Short or Long Length of Stay and 30-Day Readmission and Mortality in Hospitalized Patients With Heart Failure

JACC. Heart Failure
Maneesh SudDouglas S Lee

Abstract

This study sought to examine the associations between heart failure (HF)-related hospital length of stay and 30-day readmissions and HF hospital length of stay and mortality rates. Although reducing HF readmission and mortality rates are health care priorities, how HF-related hospital length of stay affects these outcomes is not fully known. A population-level, multicenter cohort study of 58,230 patients with HF (age >65 years) was conducted in Ontario, Canada between April 1, 2003 and March 31, 2012. When length of stay was modeled as continuous variable, its association with the rate of cardiovascular readmission was nonlinear (p < 0.001 for nonlinearity) and U-shaped. When analyzed as a categorical variable, there was a higher rate of cardiovascular readmission for short (1 to 2 days; adjusted hazard ratio [HR]: 1.12; 95% confidence interval [CI]: 1.04 to 1.21; p = 0.003) and long (9 to 14 days; HR: 1.11; 95% CI: 1.04 to 1.19; p = 0.002) lengths of stay as compared with 5 to 6 days (reference). Hospital readmissions for HF demonstrated a similar nonlinear (p = 0.005 for nonlinearity) U-shaped relationship with increased rates for short (HR: 1.15; 95% CI: 1.04 to 1.27; p = 0.006) and long (HR: 1.14; 95% CI: 1.04 to 1.25; p = ...Continue Reading

Associated Clinical Trials

Citations

Dec 21, 2018·Circulation. Cardiovascular Quality and Outcomes·Timothy J Fendler, Shannon M Dunlay
May 28, 2019·Heart and Vessels·Hidenori MoriyamaUNKNOWN West Tokyo Heart Failure Registry Investigators
Aug 24, 2019·Journal of Gastroenterology and Hepatology·Lindsay A SobotkaLanla F Conteh
May 30, 2020·Journal of the American Heart Association·Kirk N Garratt
Aug 21, 2020·Journal of General Internal Medicine·Sulaiman S SomaniGirish N Nadkarni
Nov 27, 2019·Current Heart Failure Reports·Juan F DelgadoFernando Arribas Ynsaurriaga
Oct 27, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Oğuz Abdullah UyaroĞluSerhat Ünal
Dec 8, 2020·Pulmonary Circulation·Priyanka T BhattacharyaJeremy A Mazurek
Feb 13, 2021·Risk Management and Healthcare Policy·Qingling JiangJay Pan
Aug 18, 2020·Journal of Cardiac Failure·Panayotis ConstantinouPhilippe Tuppin
Apr 4, 2021·International Journal of Environmental Research and Public Health·Bo Yeon LeeYo Han Lee
Jun 17, 2021·European Journal of Internal Medicine·Miguel LorenzoJulio Núñez
Jul 7, 2021·Journal of Child Neurology·Annie RolizSanjeev Kothare
Nov 10, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Hiba Deek, Patricia M Davidson
Mar 11, 2018·Pediatrics·Paul T Rosenau, Brian K Alverson

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