Am J Public Health. 1988 Jun;78(6):680-2. doi: 10.2105/ajph.78.6.680.

Effect of DRGs on three-month readmission rate of geriatric patients with congestive heart failure.

American journal of public health

M W Rich, K E Freedland

PMID: 2835909 PMCID: PMC1350282 DOI: 10.2105/ajph.78.6.680
Free PMC Article

Abstract

We reviewed the three-month hospital readmission rates of 410 patients ages 70 years or older discharged alive with a first time diagnosis of congestive heart failure during the period January 1983-June 1986. The mean age was 79.8 years, 59.5 per cent were women. Mean length of initial hospital stay decreased from 10.8 days in 1983 to 7.8 days in 1986. One hundred-nineteen patients (29 per cent) were rehospitalized at least once within three months of initial discharge. The readmission rates by year were: 1983, 40.0 per cent; 1984, 27.5 per cent; 1985, 21.4 per cent; 1986, 23.2 per cent. During this same interval, the percentage of patients referred for home health care services increased from 3.3 per cent in 1983 to 13.0 per cent in 1984, 5.8 per cent in 1985, and 12.5 per cent in 1986. Thus, decreased length of hospital stay was associated with a parallel decline in early readmission rate and increased utilization of home health care services. Although this study has important methodologic limitations, the data suggest that shorter hospital stays under the DRG system are not necessarily associated with an increased rate of early rehospitalization.

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References

1. Circulation. 1983 Mar;67(3):483-91 - PubMed
2. Ann Intern Med. 1981 Dec;95(6):711-22 - PubMed
3. N Engl J Med. 1984 May 17;310(20):1294-301 - PubMed
4. Lancet. 1984 Sep 8;2(8402):564-7 - PubMed
5. N Engl J Med. 1984 Nov 15;311(20):1314-7 - PubMed
6. N Engl J Med. 1984 Nov 22;311(21):1349-53 - PubMed
7. J Am Geriatr Soc. 1984 Nov;32(11):843-8 - PubMed
8. Chest. 1985 Feb;87(2):229-34 - PubMed
9. N Engl J Med. 1985 Mar 7;312(10):621-7 - PubMed
10. Ann Thorac Surg. 1985 Jun;39(6):552-7 - PubMed
11. Geriatrics. 1985 Jul;40(7):77-81 - PubMed
12. J Thorac Cardiovasc Surg. 1985 Jul;90(1):56-60 - PubMed
13. Am J Cardiol. 1985 Aug 23;56(5):32C-34C - PubMed
14. J Am Geriatr Soc. 1985 Sep;33(9):595-601 - PubMed
15. Med Decis Making. 1985;5(1):23-9 - PubMed
16. Med Decis Making. 1985;5(1):31-4 - PubMed
17. N Engl J Med. 1986 Jan 16;314(3):153-7 - PubMed
18. Am J Cardiol. 1986 Jan 1;57(1):29-32 - PubMed
19. Inquiry. 1986 Spring;23(1):67-75 - PubMed
20. N Engl J Med. 1986 May 29;314(22):1460-4 - PubMed
21. J Am Geriatr Soc. 1986 Aug;34(8):586-92 - PubMed
22. Geriatrics. 1986 Sep;41(9):71-3, 76-8, 81 - PubMed
23. Am J Public Health. 1987 Feb;77(2):148-52 - PubMed
24. Fed Proc. 1979 Feb;38(2):161-2 - PubMed
25. N Engl J Med. 1980 May 1;302(18):996-1002 - PubMed
26. Angiology. 1983 Aug;34(8):509-16 - PubMed

MeSH terms

• Aftercare
• Aged
• Aged, 80 and over
• Diagnosis-Related Groups*
• Female
• Heart Failure* / complications
• Hospital Bed Capacity, 500 and over
• Hospitals, Teaching / statistics & numerical data
• Humans
• Length of Stay / trends
• Male
• Missouri
• Patient Readmission*
• Retrospective Studies
• Severity of Illness Index
• Statistics as Topic

Publication Types

• Journal Article

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