ArticlePloS one2015
Hospital readmissions of patients with heart failure: the impact of hospital and primary care organizational factors in Northern Italy.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- General practice organisational models and heart failure medication adherence: multi-level evidence from a regional cohort in Emilia-Romagna, Italy.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Outcomes of early post-discharge cardio-geriatric care in frail patients after acute heart failure: a before-and-after study.BMC geriatrics · 2025Article
- Reducing the hospitalization epidemic of chronic heart failure by disease management programs.Internal and emergency medicine · 2024Article
- One-year readmissions for circulatory diseases and in-hospital mortality after an index episode of heart failure in elderly patients. A nationwide data from public hospitals in Spain between 2016 and 2018.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Article
- Randomized Controlled Trial Comparing a Multidisciplinary Intervention by a Geriatrician and a Cardiologist to Usual Care after a Heart Failure Hospitalization in Older Patients: The SENECOR Study.Journal of clinical medicine · 2022Article
- PRADOC: a trial on the efficiency of a transition care management plan for hospitalized patients with heart failure in France.ESC heart failure · 2021Article
- Investigating the geographic disparity in quality of care: the case of hospital readmission after acute myocardial infarction in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- The association between general practitioner regularity of care and 'high use' hospitalisation.BMC health services research · 2020Article
- Hospitalization for acute heart failure: the in-hospital care pathway predicts one-year readmission.Scientific reports · 2020Article
- The effect of primary care on potentially avoidable hospitalizations in France: a cross-sectional study.BMC health services research · 2020Article
- Impact of early primary care follow-up after discharge on hospital readmissions.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Observational
- Development of a prediction model for 30-day acute readmissions among older medical patients: the influence of social factors along with other patient-specific and organisational factors.BMJ open quality · 2019Observational
- Caregiver determinants of patient clinical event risk in heart failure.European journal of cardiovascular nursing · 2017Article
- Prognostic burden of heart failure recorded in primary care, acute hospital admissions, or both: a population-based linked electronic health record cohort study in 2.1 million people.European journal of heart failure · 2017Article
- One-year mortality outcomes and hospital readmissions of patients admitted with acute heart failure: Data from the Trivandrum Heart Failure Registry in Kerala, India.American heart journal · 2017Article
- Real world heart failure epidemiology and outcome: A population-based analysis of 88,195 patients.PloS one · 2017Article
- Risk-adjustment models for heart failure patients' 30-day mortality and readmission rates: the incremental value of clinical data abstracted from medical charts beyond hospital discharge record.BMC health services research · 2016Observational
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary health care is essential for an appropriate management of heart failure (HF), a disease which is a major clinical and public health issue and a leading cause of hospitalization. The aim of this study was to evaluate the impact of different organizational factors on readmissions of patients with HF.
methodsThe study population included elderly resident in the Local Health Authority of Bologna (Northern Italy) and discharged with a diagnosis of HF from January to December 2010. Unplanned hospital readmissions were measured in four timeframes: 30 (short-term), 90 (medium-term), 180 (mid-long-term), and 365 days (long-term). Using multivariable multilevel Poisson regression analyses, we investigated the association between readmissions and organizational factors (discharge from a cardiology department, general practitioners' monodisciplinary organizational arrangement, and implementation of a specific HF care pathway).
resultsThe 1873 study patients had a median age of 83 years (interquartile range 77-87) and 55.5% were females; 52.0% were readmitted to the hospital for any reason after a year, while 20.1% were readmitted for HF. The presence of a HF care pathway was the only factor significantly associated with a lower risk of readmission for HF in the short-, medium-, mid-long- and long-term period (short-term: IRR [incidence rate ratio]=0.57, 95%CI [confidence interval]=0.35-0.92; medium-term: IRR=0.70, 95%CI=0.51-0.96; mid-long-term: IRR=0.79, 95%CI=0.64-0.98; long-term: IRR=0.82, 95%CI=0.67-0.99), and with a lower risk of all-cause readmission in the short-term period (IRR=0.73, 95%CI=0.57-0.94).
conclusionOur study shows that the HF care specific pathway implemented at the primary care level was associated with lower readmission rate for HF in each timeframe, and also with lower readmission rate for all causes in the short-term period. Our results suggest that the engagement of primary care professionals starting from the early post-discharge period may be relevant in the management of patients with HF.
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