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Outcomes and Opportunities for Reduc...

Pokras, Stan.

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Outcomes and Opportunities for Reducing Heart Failure 30-Day Readmissions and Mortality for Acute Care Inter-hospital Transfers at a Multi-Site Hospital System.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Outcomes and Opportunities for Reducing Heart Failure 30-Day Readmissions and Mortality for Acute Care Inter-hospital Transfers at a Multi-Site Hospital System./
作者:	Pokras, Stan.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	148 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
Contained By:	Dissertations Abstracts International81-10B.
標題:	Epidemiology. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27949229
ISBN:	9781658499491

Outcomes and Opportunities for Reducing Heart Failure 30-Day Readmissions and Mortality for Acute Care Inter-hospital Transfers at a Multi-Site Hospital System.
Pokras, Stan.

Outcomes and Opportunities for Reducing Heart Failure 30-Day Readmissions and Mortality for Acute Care Inter-hospital Transfers at a Multi-Site Hospital System. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 148 p.

Source: Dissertations Abstracts International, Volume: 81-10, Section: B.

Thesis (Ph.D.)--Kent State University, 2020.

This item must not be sold to any third party vendors.

Congestive heart failure is a growing epidemic within the American landscape with a prevalence of over six million patients with direct costs exceeding $32 billion annually. Post-discharge outcomes for patients with heart failure are poor and as high as 25% 30-day readmissions rates and 10% 30-day mortality rates. Inter-hospital transfer (IHT) of patients with heart failure is understudied and not well-known in the literature, although it is estimated to occur in 1.5%-4.5% of all inpatient encounters. The predictors of IHT of patients with heart failure from a community hospital to an academic medical center, post-discharge outcomes, and total cost outcomes within a multi-site hospital system were studied in this dissertation. Multivariable logistic regression analysis found significant associations between higher severity of illness and odds of IHT from community hospitals to an academic medical center. Further analysis found 25% increased odds of 30-day mortality and 2.26 higher odds of 30-day readmissions of IHT patients compared to non-transfer patients. These poor post-discharge outcomes were also associated with higher severity of illness among patients with heart failure. IHT was associated with $2,015 in additional total costs compared to non-transfer patients, with those total cost increases associated with higher severity of illness and longer lengths of stay in the hospital. This research adds new information about the medical and economic aspects of IHT within a multi-site health system, while highlighting the need for future studies into these complex medical phenomena.

ISBN: 9781658499491Subjects--Topical Terms:

568544
Epidemiology.
Subjects--Index Terms:

Heart failure

Outcomes and Opportunities for Reducing Heart Failure 30-Day Readmissions and Mortality for Acute Care Inter-hospital Transfers at a Multi-Site Hospital System.
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