Devraj Sukul, MD, Shashank S. Sinha, MD, MSc, Andrew M

Slides:



Advertisements
Similar presentations
Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.
Advertisements

The Epidemic of the 20th Century: Coronary Heart Disease
Severe Tuberculosis Sepsis in an Immunocompetent Patient
New-onset Atrial Fibrillation Predicts Heart Failure Progression
The Effect of Smoking on the Risk of Sciatica: A Meta-analysis
Renato D. Lopes, MD, PhD, Li Li, MS, Christopher B
An Unusual Cause of Leg Ulcerations
Electronic Health Record Use, Intensity of Hospital Care, and Patient Outcomes  Saul Blecker, MD, MHS, Keith Goldfeld, DrPH, Naeun Park, MS, Daniel Shine,
Long-term Trends in Short-term Outcomes in Acute Myocardial Infarction
How Well Are Pulses Measured
Alexander A. Leung, MD, MPH, Finlay A. McAlister, MD, MSc, Samuel R. G
Risk Factors for 30-Day Readmission in Adults with Sickle Cell Disease
Recurrent infarction causes the most deaths following myocardial infarction with left ventricular dysfunction  Stein Ørn, MD, John G.F. Cleland, MD, Matti.
Trends in Comorbidity, Disability, and Polypharmacy in Heart Failure
Matthew I. Worthley, MBBS, PhD, FRACP, Fiona M
30-Day Readmissions After an Acute Kidney Injury Hospitalization
Systematic Review of the Mediterranean Diet for Long-Term Weight Loss
Digoxin Use and Lower 30-day All-cause Readmission for Medicare Beneficiaries Hospitalized for Heart Failure  Ali Ahmed, MD, MPH, Robert C. Bourge, MD,
Impact of Hyponatremia Correction on the Risk for 30-Day Readmission and Death in Patients with Congestive Heart Failure  Jacques D. Donzé, MD, MSc, Patrick.
Leslie R. Harrold, MD, MPH, Daniel Peterson, MS, Ashley J
Trends in Stroke Rates, Risk, and Outcomes in the United States, 1988 to 2008  Margaret C. Fang, MD, MPH, Marcelo Coca Perraillon, MA, Kaushik Ghosh, PhD,
Wandering Acute Myocardial Infarction
Overview of Current Learning Theories for Medical Educators
Prognostic Importance of Low Admission Serum Creatinine Concentration for Mortality in Hospitalized Patients  Charat Thongprayoon, MD, Wisit Cheungpasitporn,
Area-Level Poverty and Excess Hospital Readmission Ratios
Thomas E. MacMillan, MD, MSc, Terence Tang, MD, Rodrigo B
Body Mass Index and Mortality in Acute Myocardial Infarction Patients
The Effect of a Statewide Smoking Ordinance on Acute Myocardial Infarction Rates  Paul Basel, BS, Becki Bucher Bartelson, PhD, Marie Claire Le Lait, MS,
The Epidemic of the 20th Century: Coronary Heart Disease
Risk Factors for Work Disability in Severe Adult Asthma
Carotid Sinus Massage in Patients with Suspected Acute Myocardial Infarction, Tachycardia, and Left Bundle Branch Block  Teddy Weiss, MD, Yair Elitzur,
Osteoporotic Fractures and Heart Failure in the Community
Robert Goulden, MBBS, MSc, MPhil, MA  The American Journal of Medicine 
Jonathan D. Davis, MD, MPHS, Margaret A
Tick Tock The American Journal of Medicine
Repeated Heart Rate Measurement and Cardiovascular Outcomes in Left Ventricular Systolic Dysfunction  Victoria Hamill, PhD, Ian Ford, PhD, Kim Fox, MD,
Peter M. Farrehi, MD, Kristen R. Clore, OTRL, J
Jane S. Saczynski, PhD, Darleen Lessard, MS, Frederick A
Jessica L. Lee, MD, MS, Esther S. Oh, MD, Rebecca W. Lee, MD, Thomas E
Outcomes of Hospitalized Patients with Non-Acute Coronary Syndrome and Elevated Cardiac Troponin Level  Edward O. McFalls, MD, PhD, Greg Larsen, MD, Gary.
American Heart Association's Life's Simple 7: Avoiding Heart Failure and Preserving Cardiac Structure and Function  Aaron R. Folsom, MD, Amil M. Shah,
The New Lipid Guidelines: What Do Primary Care Clinicians Think?
Shao-Hsien Liu, MPH, Jeffrey B. Driban, PhD, Charles B
Jonathan D. Davis, MD, MPHS, Margaret A
The Impact of Prior Heart Failure Hospitalizations on Long-term Mortality Differs by Baseline Risk of Death  Naga V.A. Kommuri, MD, Todd M. Koelling,
John P. Vavalle, MD, MHS, Renato D. Lopes, MD, PhD, Anita Y
Yader Sandoval, MD, Stephen W. Smith, MD, Sara A
Independent of Cirrhosis, Hepatocellular Carcinoma Risk Is Increased with Diabetes and Metabolic Syndrome  Allison J. Kasmari, MD, Amy Welch, MD, MSN,
Shannon M. Dunlay, MD, MS, Quinn R. Pack, MD, Randal J
To Reduce Stroke with PFO Closure, Respect the Shunt
John-Michael Gamble, BScPharm, MSc, Dean T. Eurich, PhD, Thomas J
One-way Versus Two-way Text Messaging on Improving Medication Adherence: Meta- analysis of Randomized Trials  David S. Wald, MD, FRCP, Shahena Butt, MSc,
Purple Urinary Bag Syndrome
Patient Outcomes when Housestaff Exceed 80 Hours per Week
Cognitive Impairment in Older Adults with Heart Failure: Prevalence, Documentation, and Impact on Outcomes  John A. Dodson, MD, Tuyet-Trinh N. Truong,
Plasma Lactescence in Acute Pancreatitis
Barriers to Adult Immunization
Acute Reperfusion Therapy in ST-Elevation Myocardial Infarction from  
Trends in Prolonged Hospitalizations in the United States from 2001 to 2012: A Longitudinal Cohort Study  Lauren Doctoroff, MD, Douglas J. Hsu, MD, Kenneth.
The Economic Burden of Hyponatremia: Systematic Review and Meta-Analysis  Giovanni Corona, MD, PhD, Corinna Giuliani, MD, Gabriele Parenti, MD, PhD, Giorgio.
Higher Cardiovascular Disease Prevalence and Mortality among Younger Blacks Compared to Whites  Stacey Jolly, MD, MS, Eric Vittinghoff, PhD, Arpita Chattopadhyay,
Falls in Older Adults: Risk Assessment, Management and Prevention
Hospital Costs of Acute Pulmonary Embolism
Has mortality from acute renal failure decreased
Emily G. McDonald, MD, MSc, Ramy R. Saleh, MD, Todd C. Lee, MD, MPH 
Longer Lengths of Stay and Higher Risk of Mortality among Inpatients of Physicians with More Years in Practice  William N. Southern, MD, MS, Eran Y. Bellin,
Preoperative Thienopyridine Use and Outcomes after Surgery: A Systematic Review  Anita G. Au, MD, Sumit R. Majumdar, MD MPH, Finlay A. McAlister, MD MSc 
William S. Jenkins, MB, BCh, Véronique L. Roger, MD, MPH, Allan S
Evaluation of the Yale New Haven Readmission Risk Score for Pneumonia in a General Hospital Population  Gabrielle Schaefer, MD, Robert El-Kareh, MD, MS,
Secular trends in cardiovascular disease mortality, incidence, and case fatality rates in adults in the United States  Ahmet Ergin, MD, PhD, MPH, Paul.
Presentation transcript:

Patterns of Readmissions for Three Common Conditions Among Younger US Adults  Devraj Sukul, MD, Shashank S. Sinha, MD, MSc, Andrew M. Ryan, PhD, Michael W. Sjoding, MD, MSc, Scott L. Hummel, MD, MS, Brahmajee K. Nallamothu, MD, MPH  The American Journal of Medicine  Volume 130, Issue 10, Pages 1220.e1-1220.e16 (October 2017) DOI: 10.1016/j.amjmed.2017.05.025 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 Percentage of readmissions within 30 days of discharge among younger adult and elderly Medicare patients for 3 conditions. The daily percentage of 30-day readmissions after hospitalizations for acute myocardial infarction (A), heart failure (B), and pneumonia (C) among younger adult and elderly Medicare patients. The American Journal of Medicine 2017 130, 1220.e1-1220.e16DOI: (10.1016/j.amjmed.2017.05.025) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 Predicted risk of readmission for younger adult patients across a spectrum of hospital 30-day RSRRs among elderly Medicare beneficiaries. Average predicted risks of readmission (solid line) and 95% CIs (shaded area) for younger adult patients admitted for acute myocardial infarction (A), heart failure (B), or pneumonia (C) at varying levels of an average hospital's 30-day RSRR derived from elderly Medicare patients hospitalized for each respective condition. The American Journal of Medicine 2017 130, 1220.e1-1220.e16DOI: (10.1016/j.amjmed.2017.05.025) Copyright © 2017 Elsevier Inc. Terms and Conditions

Supplementary Figure 1 Flow diagram of study sample. *Detailed exclusions are shown in Supplementary Figure 2. AMI = acute myocardial infarction; HF = heart failure; PNA = pneumonia. The American Journal of Medicine 2017 130, 1220.e1-1220.e16DOI: (10.1016/j.amjmed.2017.05.025) Copyright © 2017 Elsevier Inc. Terms and Conditions

Supplementary Figure 2 Flow diagram of admission- and hospital-level exclusions for acute myocardial infarction, heart failure, and pneumonia. A, Acute myocardial infarction. B, Heart failure. C, Pneumonia. The American Journal of Medicine 2017 130, 1220.e1-1220.e16DOI: (10.1016/j.amjmed.2017.05.025) Copyright © 2017 Elsevier Inc. Terms and Conditions

Supplementary Figure 2 Flow diagram of admission- and hospital-level exclusions for acute myocardial infarction, heart failure, and pneumonia. A, Acute myocardial infarction. B, Heart failure. C, Pneumonia. The American Journal of Medicine 2017 130, 1220.e1-1220.e16DOI: (10.1016/j.amjmed.2017.05.025) Copyright © 2017 Elsevier Inc. Terms and Conditions