Inpatient palliative care encounter and 30-day readmission among hospitalizations for heart failure

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YAZDANYAR, Ali | GUTHIER, Desire | MAITZ, Theresa | SINGH, Satinder | PARFIANOWICZ, Dominic | LI, Shuisen | JARJOUS, Shadi

Aim: To determine the association between inpatient palliative care encounter (PCE) and 30-day rehospitalization. Materials & methods: The Nationwide Readmission Database was used in a cross-sectional design study. Comorbidities and a palliative care encounter (PCE; V66.7) were defined using ICD-9 codes. Results: Overall, 21.28% of 3,534,480 index hospitalizations were readmitted. PCE occurred in 1.66% of index hospitalizations and was associated with a lower odds of 30-day rehospitalization (adjusted odds ratio, 0.38; 95% CI: 0.35-0.40). This association remained significant when assessed by discharge destination. C onclusion: PCE was associated with a lower relative odds of 30-day rehospitalization. A 73% decrease in the relative odds of 30-day rehospitalization among discharges to a facility, 64% for home with home health, and 22% for discharges to home.

http://dx.doi.org/10.2217/fca-2022-0041

Voir la revue «Future cardiology»

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