Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?
BACKGROUND
Disease Management Programmes (DMPs) are successful in reducing hospital readmissions in heart failure (HF). However, there remain a number of patients enrolled in a DMP who are readmitted with HF. The primary aim of the study was to determine the proportion of preventable readmissions (PR). The secondary aim was to recognise patient characteristics which would identify certain patients at risk of having a PR.


METHODS
A retrospective chart search was performed on patients readmitted over a 1-year period.


RESULTS
38.5% of readmissions were classified as PR. None of these patients made prior contact with the DMP. Admission levels of BNP, potassium, urea and creatinine were significantly lower in the PR group.


CONCLUSIONS
DMP have proven benefits in reducing hospital readmission nonetheless a significant proportion of these readmissions are preventable. Further work is required to prospectively analyse why these patients fail to contact the DMP.
Phelan
D
D
Heart Failure Unit, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Smyth
L
L
Ryder
M
M
Murphy
N
N
O'Loughlin
C
C
Conlon
C
C
Ledwidge
M
M
McDonald
K
K
D000368:Aged; D019468:Disease Management; D005260:Female; D006333:Heart Failure / Q000517:prevention & control*; D006801:Humans; D007494:Ireland; D007902:Length of Stay; D008297:Male; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011379:Prognosis; D015397:Program Evaluation; D012189:Retrospective Studies; D012307:Risk Factors