Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States

Parag Goyal,1 Madeline R Sterling,2 Ashley N Beecy,2 John T Ruffino,2 Sonal S Mehta,3 Erica C Jones,1 Mark S Lachs,3 Evelyn M Horn1 1Division of Cardiology, Department of Medicine, 2Department of Medicine, 3Division of Geriatrics, Department of Medicine, Weill Cornell Medicine, New York, NY,&nb...

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Autores principales:	Goyal P, Sterling MR, Beecy AN, Ruffino JT, Mehta SS, Jones EC, Lachs MS, Horn EM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	appointments patient readmission ageism heart failure Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/49cbbda4f21c4c5ba8b5e5f0fd9b2ca3
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spelling	oai:doaj.org-article:49cbbda4f21c4c5ba8b5e5f0fd9b2ca32021-12-02T02:35:03ZPatterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States1178-1998https://doaj.org/article/49cbbda4f21c4c5ba8b5e5f0fd9b2ca32016-09-01T00:00:00Zhttps://www.dovepress.com/patterns-of-scheduled-follow-up-appointments-following-hospitalization-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Parag Goyal,1 Madeline R Sterling,2 Ashley N Beecy,2 John T Ruffino,2 Sonal S Mehta,3 Erica C Jones,1 Mark S Lachs,3 Evelyn M Horn1 1Division of Cardiology, Department of Medicine, 2Department of Medicine, 3Division of Geriatrics, Department of Medicine, Weill Cornell Medicine, New York, NY, USA Objectives: Although postdischarge outpatient follow-up appointments after a hospitalization for heart failure represent a potentially effective strategy to prevent heart failure readmissions, patterns of scheduled follow-up appointments upon discharge are poorly described. We aimed to characterize real-world patterns of scheduled follow-up appointments among adult patients with heart failure upon hospital discharge.Patients and methods: This was a retrospective cohort study performed at a large urban academic center in the United States among adults hospitalized with a principal diagnosis of congestive heart failure between January 1, 2013, and December 31, 2014. Patient demographics, administrative data, clinical parameters, echocardiographic indices, and scheduled postdischarge outpatient follow-up appointments were collected.Results: Of the 796 patients hospitalized for heart failure, just over half of the cohort had a scheduled follow-up appointment upon discharge. Follow-up appointments were less likely among patients who were white and had heart failure with preserved ejection fraction and more likely among patients with Medicaid and chronic obstructive pulmonary disease. In an adjusted multivariable regression model, age ≥65 years was inversely associated with a scheduled follow-up appointment upon hospital discharge, despite higher rates of several cardiovascular and noncardiovascular comorbidities.Conclusion: Just half of the patients discharged home following a hospitalization for heart failure had a follow-up appointment scheduled, representing a missed opportunity to provide a recommended care transition intervention. Despite a greater burden of both cardiovascular and noncardiovascular comorbidities, older adults (age ≥65 years) were less likely to have a follow-up appointment scheduled upon discharge compared with younger adults, revealing a disparity that warrants further investigation. Keywords: appointments, patient readmission, ageism, heart failure Goyal PSterling MRBeecy ANRuffino JTMehta SSJones ECLachs MSHorn EMDove Medical Pressarticleappointmentspatient readmissionageismheart failureGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1325-1332 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	appointments patient readmission ageism heart failure Geriatrics RC952-954.6
spellingShingle	appointments patient readmission ageism heart failure Geriatrics RC952-954.6 Goyal P Sterling MR Beecy AN Ruffino JT Mehta SS Jones EC Lachs MS Horn EM Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
description	Parag Goyal,1 Madeline R Sterling,2 Ashley N Beecy,2 John T Ruffino,2 Sonal S Mehta,3 Erica C Jones,1 Mark S Lachs,3 Evelyn M Horn1 1Division of Cardiology, Department of Medicine, 2Department of Medicine, 3Division of Geriatrics, Department of Medicine, Weill Cornell Medicine, New York, NY, USA Objectives: Although postdischarge outpatient follow-up appointments after a hospitalization for heart failure represent a potentially effective strategy to prevent heart failure readmissions, patterns of scheduled follow-up appointments upon discharge are poorly described. We aimed to characterize real-world patterns of scheduled follow-up appointments among adult patients with heart failure upon hospital discharge.Patients and methods: This was a retrospective cohort study performed at a large urban academic center in the United States among adults hospitalized with a principal diagnosis of congestive heart failure between January 1, 2013, and December 31, 2014. Patient demographics, administrative data, clinical parameters, echocardiographic indices, and scheduled postdischarge outpatient follow-up appointments were collected.Results: Of the 796 patients hospitalized for heart failure, just over half of the cohort had a scheduled follow-up appointment upon discharge. Follow-up appointments were less likely among patients who were white and had heart failure with preserved ejection fraction and more likely among patients with Medicaid and chronic obstructive pulmonary disease. In an adjusted multivariable regression model, age ≥65 years was inversely associated with a scheduled follow-up appointment upon hospital discharge, despite higher rates of several cardiovascular and noncardiovascular comorbidities.Conclusion: Just half of the patients discharged home following a hospitalization for heart failure had a follow-up appointment scheduled, representing a missed opportunity to provide a recommended care transition intervention. Despite a greater burden of both cardiovascular and noncardiovascular comorbidities, older adults (age ≥65 years) were less likely to have a follow-up appointment scheduled upon discharge compared with younger adults, revealing a disparity that warrants further investigation. Keywords: appointments, patient readmission, ageism, heart failure
format	article
author	Goyal P Sterling MR Beecy AN Ruffino JT Mehta SS Jones EC Lachs MS Horn EM
author_facet	Goyal P Sterling MR Beecy AN Ruffino JT Mehta SS Jones EC Lachs MS Horn EM
author_sort	Goyal P
title	Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_short	Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_full	Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_fullStr	Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_full_unstemmed	Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States
title_sort	patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the united states
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/49cbbda4f21c4c5ba8b5e5f0fd9b2ca3
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Patterns of scheduled follow-up appointments following hospitalization for heart failure: insights from an urban medical center in the United States

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