ArticleGeneral hospital psychiatry
Quality of care for heart failure among disabled Medicaid recipients with and without severe mental illness.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis.PloS one · 2015Pooled it
- Effect of Medication and Dietary Compliance on Rehospitalization and the Quality of Life of Patients with Heart Failure.Florence Nightingale journal of nursing · 2020Article
- Assessing Risk and Preventing 30-Day Readmissions in Decompensated Heart Failure: Opportunity to Intervene?Current heart failure reports · 2015Review
- Quality of medical care for persons with serious mental illness: A comprehensive review.Schizophrenia research · 2015Review
- Guideline-concordant antipsychotic use and mortality in schizophrenia.Schizophrenia bulletin · 2013Article
- Analysis of causes of death for all decedents in Ohio with and without mental illness, 2004-2007.Psychiatric services (Washington, D.C.) · 2013Article
- Serious mental illness and acute hospital readmission in diabetic patients.American journal of medical quality : the official journal of the American College of Medical QualityArticle
- Post-myocardial-infarction quality of care among disabled Medicaid beneficiaries with and without serious mental illness.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine the association between severe mental illness (SMI) and quality of care in heart failure.
methodsWe conducted a cohort study between 2001 and 2004 of disabled Maryland Medicaid participants with heart failure. Quality measures and clinical outcomes were compared for individuals with and without SMI.
resultsOf 1801 individuals identified with heart failure, 341 had comorbid SMI. SMI was not associated with differences in quality measures, including left ventricular assessment [adjusted relative risk (aRR) 0.99; 95% CI 0.91-1.07], utilization of angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) (aRR 1.04; 95% CI 0.92-1.17), or beta-blocker use (aRR 1.13; 95% CI 0.99-1.29). During the study period, 52.2% of individuals in the cohort filled a prescription for an ACE inhibitor or ARB and 45.5% filled a beta-blocker prescription. Individuals with and without SMI had similar rates of clinical outcomes, including hospitalizations, readmissions, and mortality. Both medication interventions were associated with improved mortality.
conclusionsIn this sample of disabled Medicaid recipients with heart failure, persons with SMI received similar quality of care as those without SMI. Both groups had low rates of beneficial medical treatments. Quality improvement programs should consider how best to target these vulnerable populations.
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