Figure 1. This graph shows the dramatic difference between the total number of 30-day acute decompensated heart failure and all cause readmissions of patients prior to enrollment compared with the total number of readmissions post-enrolment.
| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Original Article
Volume 5, Number 5, October 2013, pages 335-342
Physician-Directed Heart Failure Transitional Care Program: A Retrospective Case Review
Figure
Tables
| Number | Percentage | Standard Deviation | |
|---|---|---|---|
| Age | 67 | 16 | |
| Gender | |||
| Male | 39 | 53% | |
| Female | 34 | 47% | |
| Race | |||
| Caucasian | 41 | 56% | |
| African American | 20 | 27% | |
| Hispanic | 12 | 17% | |
| Insurance | |||
| Commercial | 27 | 37% | |
| Medicare | 19 | 26% | |
| Medicaid | 15 | 20.5% | |
| Medicare Advantage | 7 | 9.5% | |
| Uninsured | 5 | 7% | |
| Disposition | |||
| Home | 54 | 74% | |
| Home Hospice | 10 | 14% | |
| Skilled Nursing Facility | 5 | 7% | |
| Inpatient Hospice | 3 | 4% | |
| Assisted Living | 1 | 1% | |
| NYHA class | |||
| Class II | 29 | 40% | |
| Class III | 27 | 37% | |
| Class IV | 17 | 23% | |
| Average Class | 2.8 | 0.8 | |
| Medical Information | |||
| Obesity (BMI > 30) | 36 | 49% | |
| Diabetes Mellitus type 2 | 42 | 58% | |
| Atrial Fibrillation | 26 | 36% | |
| Discharge Information | |||
| Creatinine at Discharge | 1.35 | 0.76 | |
| Number of prescriptions | 12.1 | 4.7 | |
| Hospital weight loss (kg) | 4.78 | 5.9 | |
| Mortality rate | |||
| Total | 19 | 26% | |
| Expected | 16 | 22% | |
| Unexpected | 3 | 4% | |
| Number that discontinued the program | 8 | 11% |
| Pre-enrollment | Post-enrollment | P value | |
|---|---|---|---|
| 30-day ADHF readmission rate | 26.0% | 4.1% | < 0.001 |
| 30-day all cause readmission rate | 28.8% | 8.2% | 0.002 |
| 90-day ADHF readmission rate | 58.9% | 16.4% | < 0.001 |
| 90-day all cause readmission rate | 69.8% | 27.3% | < 0.001 |