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231225s2021 xx |||||o 00| ||eng c |
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|a 10.37616/2212-5043.1247
|2 doi
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|a pubmed24n1090.xml
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|a DE-627
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|a eng
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1 |
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|a Hoo, Yee Yin
|e verfasserin
|4 aut
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|a A Quality Improvement Approach to Reduce 30-day Readmissions and Mortality in Patients with Acute Decompensated Heart Failure
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|c 2021
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
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|2 rdamedia
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 24.04.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2021 Saudi Heart Association.
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|a OBJECTIVES: Heart failure [HF] hospital readmissions are a continued challenge in the care of HF patients, which contribute substantially to the high costs of the disease and high mortality rate in lower to middle income country. We implemented a quality improvement project to improve patient outcomes and resource utilization
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|a METHODS: This study was a prospective cohort design with a historical comparison group. It was conducted to assess the difference in 30-day readmissions and mortality and to assess compliance rate with HF guideline between the historical pre-intervention audit 1 cohort and prospective post-intervention audit 2 cohorts. Audit 1 cohort were recruited from January to February 2019, whereas, audit 2 cohort which received the bundled intervention program were recruited from July to December 2019. Clinical outcomes were compared between cohorts using 30-day readmissions and mortality
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|a RESULTS: A total of 50 and 164 patients were included in audit 1 and audit 2 cohort, respectively. Patients in the audit 2 cohort were younger [63.0 ± 14.5 in audit 1 vs 56.5 ± 12.7 in audit 2, p = 0.003] and majority were male [50.0% in audit 1 vs 72.0% in audit2, p = 0.004]. Thirty-day readmissions were significantly different [36.0% audit 1 vs. 22.0% audit 2, p = 0.045], but the mortality rates were similar [4.0%% audit 1 vs. 5.5% audit 2, p = 0.677] between two cohorts
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|a CONCLUSION: A significant decrease in 30-day readmissions was observed in the post-intervention audit 2 cohort in our setting. Further study in larger population and prolong study follow-up is warranted
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|a Journal Article
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|a Congestive heart failure
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|a Heart failure
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|a Left ventricular failure
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1 |
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|a Mazlan-Kepli, Wardati
|e verfasserin
|4 aut
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1 |
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|a Hasan, Wan Nurul Huda Wan
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Chen, Fan Jie
|e verfasserin
|4 aut
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| 700 |
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|a Devadas, Prashanthini
|e verfasserin
|4 aut
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| 700 |
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|a Chow, Yan Yee
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Sow, Qian Yi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Azizan, Azrol Amar
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Malek, Abdul Muizz Abd
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Lau, Glendon Seng Kiong
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Chua, Ping Lik
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Journal of the Saudi Heart Association
|d 1999
|g 33(2021), 2 vom: 28., Seite 149-156
|w (DE-627)NLM098225227
|x 1016-7315
|7 nnns
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| 773 |
1 |
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|g volume:33
|g year:2021
|g number:2
|g day:28
|g pages:149-156
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|u http://dx.doi.org/10.37616/2212-5043.1247
|3 Volltext
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