ArticleCirculation. Cardiovascular quality and outcomes2011
Who has higher readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives.
Article in Circulation. Cardiovascular quality and outcomes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 99 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The Effect of Early Inpatient Initiation of Dapagliflozin on the Health-related Quality of Life of Patients With Heart Failure With All Range of Ejection Fraction: a Local Registry
Effect of Post-Discharge Telemedicine Motivational Enhancement Intervention in Heart Failure and Obstructive Sleep Apnea on Adherence and Health Outcomes
The Epidemiological Characteristics of Sleep Disordered Breathing in Patients With Reduced or Preserved Ejection Fraction Congestive Heart Failure
Who cites it
99 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Health Literacy Predicts Morbidity and Mortality in Rural Patients With Heart Failure.Journal of cardiac failure · 2015Trial
- Hospital at home for older patients with heart failure: an observational study of the GIROT experience.European geriatric medicine · 2026Observational
- Out-of-hours primary care management for patients with heart failure.ESC heart failure · 2026Article
- In-hospital bioimpedance-derived total body water predicts short-term cardiovascular mortality and re-hospitalizations in acute decompensated heart failure patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Observational
- Emerging use of pulmonary artery and cardiac pressure sensing technology in the management of worsening heart failure events.Heart failure reviews · 2025Review
- Skill mix versus flexibility: Decoding nurse staffing impacts on critical access hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Association Between Socioeconomic Disadvantage and Risks of Early and Recurrent Admissions Among Patients With Newly Diagnosed Heart Failure.Circulation. Cardiovascular quality and outcomes · 2024Article
- Diastolic Strain Parameters are Associated with Short Term Mortality and Rehospitalization in Patients with Advanced Heart Failure.Arquivos brasileiros de cardiologia · 2024Article
- Lived Experience of Adult With Heart Failure at Tibebe Ghion Specialized Teaching Hospital Northwest Ethiopia, Qualitative Phenomenological Study.Risk management and healthcare policy · 2024Article
- Reducing the hospitalization epidemic of chronic heart failure by disease management programs.Internal and emergency medicine · 2024Article
- Etiologies and Predictors of 30-Day Readmission in Heart Failure: An Updated Analysis.International journal of heart failure · 2023Article
- Heart Failure Emergency Readmission Prediction Using Stacking Machine Learning Model.Diagnostics (Basel, Switzerland) · 2023Article
- Hospitals serving nursing home residents disproportionately penalized under hospital readmissions reduction program.Journal of the American Geriatrics Society · 2022Article
- Association of Social Determinants of Health and Their Cumulative Impact on Hospitalization Among a National Sample of Community-Dwelling US Adults.Journal of general internal medicine · 2022Article
- Information Extraction From Electronic Health Records to Predict Readmission Following Acute Myocardial Infarction: Does Natural Language Processing Using Clinical Notes Improve Prediction of Readmission?Journal of the American Heart Association · 2022Article
- Does Geographic Location Affect the Quality of Care? The Difference in Readmission Rates Between the Border and Non-Border Hospitals in Texas.Risk management and healthcare policy · 2022Article
- In Search of Clinical Impact: Advanced Monitoring Technologies in Daily Heart Failure Care.Journal of clinical medicine · 2021Review
- Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness.BMC health services research · 2021Article
- Health-Related Social Needs and Increased Readmission Rates: Findings from the Nationwide Readmissions Database.Journal of general internal medicine · 2021Article
39 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundReducing readmissions for heart failure is an important goal for policymakers. Current national policies financially penalize hospitals with high readmission rates, which may have unintended consequences if these institutions are resource-poor, either financially or clinically. METHODS AND
resultsWe analyzed national claims data for Medicare patients with heart failure discharged from US hospitals in 2006 to 2007. We used multivariable models to examine hospital characteristics, 30-day all-cause readmission rates, and likelihood of performing in the worst quartile of readmission rates nationally. Among 905 764 discharges in our sample, patients discharged from public hospitals (27.9%) had higher readmission rates than nonprofit hospitals (25.7%, P<0.001), as did patients discharged from hospitals in counties with low median income (29.4%) compared with counties with high median income (25.7%, P<0.001). Patients discharged from hospitals without cardiac services (27.2%) had higher readmission rates than those from hospitals with full cardiac services (25.1%, P<0.001); patients discharged from hospitals in the lowest quartile of nurse staffing (28.5%) had higher readmission rates than those from hospitals in the highest quartile (25.4%, P<0.001). Patients discharged from small hospitals (28.4%) had higher readmission rates than those discharged from large hospitals (25.2%, P<0.001). These same characteristics identified hospitals that were likely to perform in the worst quartile nationally.
conclusionsGiven that many poor-performing hospitals also have fewer resources, they may suffer disproportionately from financial penalties for high readmission rates. As we seek to improve care for patients with heart failure, we should ensure that penalties for poor performance do not worsen disparities in quality of care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.