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American Journal of Medical Quality, Vol. 23, No. 1, 18-23 (2008)
DOI: 10.1177/1062860607310916

Patterns and Predictors of Early Hospital Readmission in Patients With Congestive Heart Failure

Marco Hallerbach, MD

Albert Einstein Medical Center, Philadelphia, hallerm{at}einstein.edu

Amanda Francoeur, PA-C, MS

Albert Einstein Medical Center, Philadelphia

Sherry C. Pomerantz, PhD

School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey (UMDNJ), Stratford, New Jersey

Craig Oliner, MD

Albert Einstein Medical Center, Philadelphia

D. Lynn Morris, MD

Albert Einstein Medical Center, Philadelphia

Glenn Eiger, MD

Albert Einstein Medical Center, Philadelphia

Jeffrey Cohn, MD

Albert Einstein Medical Center, Philadelphia

Michael Goldfinger, MD

Albert Einstein Medical Center, Philadelphia

Little is known about factors related to rehospitalizations that occur soon after discharge in patients with congestive heart failure (CHF). The aim of this study was to determine if there are specific characteristics common to CHF patients readmitted within 30 days. Study methods included retrospective chart review. Patients included all those hospitalized and readmitted to a large community teaching hospital for CHF exacerbation within 30 days between January 7, 2005 and June 30, 2006. A total of 58 patients were responsible for 79 readmissions. Half of all patients readmitted for CHF exacerbation were incorrectly labeled, raising doubt about reliance on administrative data alone to determine overall quality performance. Forty-five percent of all readmitted patients had underlying chronic renal insufficiency/failure (CRI/CRF) compared with 26% of CHF patients who were not readmitted within 30 days. Therefore, specifically targeting CHF patients with CRI/CRF could lead to major improvement of early readmission rates. (Am J Med Qual 2008;23:18-23)

Key Words: congestive heart failure • readmission • quality study • chronic renal insufficiency/chronic renal failure • administrative data


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