Multidisciplinary Clinic to Identify Near Misses and Decrease Readmission Rates After Hospitalization for Myocardial Infarction

Cornielle-Caamano, Vertilio M.; Salerno, Michael; Millard, Michael A.; Loguidice, Michael J.; Lawlor, Bryan T.; Shah, Ishan T.; Chidester, Jeffrey P.; Alhajri, Fahad H.; Aktan, Idil; Blakeney, Aaron K.; Fauber, Nancy; Ward, Kathryn K.; Tucker, Amy L.; Keeley, Ellen C.

doi:10.1161/circoutcomes.117.003550

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Models of cardiac rehabilitation programs have shown high compliance and with that high compliance, have been shown to reduce angina, coronary stenosis and CVD risk [27] , [28] . Similarly, a post-myocardial infarction multi-disciplinary clinic model focusing on patient education and medication compliance has been shown to reduce 30-day re-admission rates [29] . Most of these clinic models, however, promote patient education after a causal event; rather than prior.…”

Section: Discussionmentioning

confidence: 99%

Impact of a preventive cardiology clinic focusing on lifestyle and nutrition counseling: A pilot analysis

Elzeneini

George

Ashraf

et al. 2021

American Heart Journal Plus: Cardiology Research and Practice

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Section: Discussionmentioning

confidence: 99%

Impact of a preventive cardiology clinic focusing on lifestyle and nutrition counseling: A pilot analysis

Elzeneini

George

Ashraf

et al. 2021

American Heart Journal Plus: Cardiology Research and Practice

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Unplanned 30-Day Readmission after Coronary Artery Bypass in Patients with Acute Myocardial Infarction

Case

George

et al. 2020

Cardiovascular Revascularization Medicine

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Unplanned Readmissions After Acute Myocardial Infarction: 1-Year Trajectory Following Discharge From a Safety Net Hospital

Shah

Keeley

2019

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

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Background: Financial penalties rendered by the Centers for Medicare and Medicaid Services have brought about new challenges for safety net hospitals that serve a vulnerable patient population with risk factors associated with high readmission rates. Our goal was to determine the 1-year trajectory of unplanned readmissions in post-myocardial infarction (MI) patients, and to identify factors associated with readmission. Methods: A total of 261 acute MI patients admitted from April 2015 to April 2016 were evaluated in a multidisciplinary cardiology clinic within 10 days of hospital discharge and baseline characteristics and medical comorbidities were collected. Readmission and mortality data were obtained at 1 year through chart review and telephone follow-up. Results: At 1 year, there were 90 (34%) unplanned readmissions of which half were for noncardiac diagnoses. Of these, 69 patients (77%) were readmitted once, 16 (18%) were readmitted twice, 2 (2%) were readmitted 3 times, and 3 (3%) were readmitted 4 times over the subsequent year. Cardiac causes of 1-year readmission included recurrent MI in 23 (9%) and decompensated heart failure in 18 (7%) patients. Depressed left ventricular systolic function (hazard ratio, 2.23; 95% confidence interval, 2.00–2.44; P = 0.0003) and diabetes mellitus (hazard ratio, 1.60; 95% confidence interval, 1.38–1.82; P = 0.029) were associated with a significantly higher risk of readmission at 1 year. Conclusion: Following acute MI, patients are readmitted for cardiac and noncardiac diagnoses well beyond the 30-day mark. This is likely a function of the vulnerability of the patient population rather than a reflection of the medical care provided. More frequent surveillance may attenuate this problem.

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Multidisciplinary Clinic to Identify Near Misses and Decrease Readmission Rates After Hospitalization for Myocardial Infarction

Cited by 3 publications

References 4 publications

Impact of a preventive cardiology clinic focusing on lifestyle and nutrition counseling: A pilot analysis

Impact of a preventive cardiology clinic focusing on lifestyle and nutrition counseling: A pilot analysis

Unplanned 30-Day Readmission after Coronary Artery Bypass in Patients with Acute Myocardial Infarction

Unplanned Readmissions After Acute Myocardial Infarction: 1-Year Trajectory Following Discharge From a Safety Net Hospital

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