Predictors of costs of caring for elderly patients discharged with heart failure
American Heart JournalPublished 1 August 2001
Deborah J. Wexler, Jersey Chen, Grace L. Smith, Martha J. Radford, Shlomit Yaari, W. David Bradford
Citations40
SJR quartileQ1
SJR score2.04
SNIP1.18
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Patients with heart failure generate substantial hospital costs in the 6 months after discharge, and investments in interventions that produce even modest reductions in risk would be economically favorable.
Abstract
Patients with heart failure generate substantial hospital costs in the 6 months after discharge. Given the emerging evidence for effective programs to reduce readmission, investments in interventions that produce even modest reductions in risk would be economically favorable.
Keywords
Medicine
New England Journal of MedicineA Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure
2,336 Citations1995Michael W. Rich, Valerie Beckham +4 more
A nurse-directed, multidisciplinary intervention can improve quality of life and reduce hospital use and medical costs for elderly patients with congestive heart failure.
Journal of the American College of CardiologyImpact of a Comprehensive Heart Failure Management Program on Hospital Readmission and Functional Status of Patients With Advanced Heart Failure
543 Citations1997Gregg C. Fonarow, Lynne W. Stevenson +7 more
Comprehensive heart failure management led to improved functional status and an 85% decrease in the hospital admission rate for transplant candidates discharged after evaluation, which suggests that referral to a heart failure program may be appropriate not only for potential heart transplantation, but also for medical management of persistent functional class III and IV heart failure.
American Heart JournalHospitalization of patients with heart failure: National Hospital Discharge Survey, 1985 to 1995
491 Citations1999Gail A. Haldeman, Janet B. Croft +2 more
Men had twice the prevalence of invasive cardiac procedures as did women during hospitalization and the growing burden of heart failure can be expected to increase during the next decade unless innovative interventions and primary and secondary prevention strategies are implemented.
American Heart JournalSex differences in the clinical care and outcomes of congestive heart failure in the elderly
91 Citations1999Viola Vaccarino, Yating Chen +3 more
Female and male patients hospitalized for heart failure have a similar hospital course, treatment pattern, and readmission rates, but women live longer than men, and the mortality risk of women and men becomes very similar.
American Heart JournalManaged care for congestive heart failure: Influence of payer status on process of care, resource utilization, and short-term outcomes
40 Citations1998E.F. Philbin, Thomas G. DiSalvo
Though insuring only a small proportion of New Yorkers hospitalized for CHF, managed care plans provide similar access to clinical services while generating fewer charges, with HMO care associated with shorter length of stay and lower hospital charges.
American Heart JournalClinical correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older
33 Citations1998Harlan M. Krumholz, Jersey Chen +3 more
Although cost estimates for acute myocardial infarction are necessary for decisions about allocating scarce resources, there is a relative paucity of studies that estimate these costs across the entire spectrum of hospitals in actual clinical practice.
PubMedA longitudinal study of hospitalization rates for patients with chronic disease: results from the Medical Outcomes Study.
29 Citations1998Eugene C. Nelson, Colleen A. McHorney +6 more
PPD patients with chronic medical conditions followed prospectively over four years, after extensive patient-mix adjustment, had 15 percent fewer hospitalizations than their FFS counterparts owing to differences intrinsic to the insurance reimbursement system.
Heart & LungCost of hospitalizations for heart failure: Sodium retention versus other decompensating factors
27 Citations1999Sue Bennett, Robert M. Saywell +4 more
The cost of hospitalization for heart failure is high and routine services, supplies, medications, and laboratory tests used by patients contribute to the high cost of care.
PubMedCost of heart failure to the healthcare system.
11 Citations1998John I. Mackowiak
A model for heart failure is developed to determine the impact that specific management strategies will have on the overall cost to the system, which by itself can tell us some interesting things because the authors're currently spending twice as much on transplantation as on digoxin therapy.
PubMedMalaligned financial incentives of providers in the treatment of chronic diseases: the case of chronic heart failure.
3 CitationsSobotka Pa, O'Connell Jb
The absence of absolute medical consensus on appropriateness of diagnostic and treatment strategies in this population has allowed significant variation on practice patterns to evolve, and consequently, variation on the contribution to hospital fiscal viability made by each physician.