TY  - GEN
AB  - Heart failure, the fifth most common cause for hospitalization, is associated with the highest 30-day readmission rate among all diagnoses in the United States.  A strong incentive to reduce 30-day readmissions has come from the association between increased mortality and subsequent heart failure readmissions, as well as reimbursement penalties imposed on hospitals in cases of 30-day all-cause readmissions for heart failure patients. This quality improvement project designed to elucidate the utility of this recommendation for local implementation did not find evidence to support the use of a 24-hour cutoff point for inpatient observation of patients with chronic stage C heart failure with reduced left ventricular ejection fraction hospitalized for acute-on-chronic decompensated heart failure.  This result should be interpreted with caution given the project's methodological limitations inherent to the observational design and small sample size.
AD  - Oregon Health and Science University
AU  - Samuel, Nathan D.
DA  - 2020-06-01
DO  - 10.6083/f1881m566
DO  - DOI
ED  - Miller, Robin
ED  - Advisor
ID  - 7989
KW  - Diuretics
KW  - Observation
KW  - Hospitalization
KW  - Heart Failure
KW  - Inpatients
KW  - therapy
L1  - https://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf
L2  - https://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf
L4  - https://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf
LK  - https://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf
N2  - Heart failure, the fifth most common cause for hospitalization, is associated with the highest 30-day readmission rate among all diagnoses in the United States.  A strong incentive to reduce 30-day readmissions has come from the association between increased mortality and subsequent heart failure readmissions, as well as reimbursement penalties imposed on hospitals in cases of 30-day all-cause readmissions for heart failure patients. This quality improvement project designed to elucidate the utility of this recommendation for local implementation did not find evidence to support the use of a 24-hour cutoff point for inpatient observation of patients with chronic stage C heart failure with reduced left ventricular ejection fraction hospitalized for acute-on-chronic decompensated heart failure.  This result should be interpreted with caution given the project's methodological limitations inherent to the observational design and small sample size.
PB  - Oregon Health and Science University
PY  - 2020-06-01
T1  - Duration of inpatient observation after transition to oral diuretics: effect on 30-day readmissions for heart failure patients
TI  - Duration of inpatient observation after transition to oral diuretics: effect on 30-day readmissions for heart failure patients
UR  - https://digitalcollections.ohsu.edu/record/7989/files/Samuel.Nathan.2020.pdf
Y1  - 2020-06-01
ER  -