ArticleThe American journal of medicine2017
Cardiology Consultation in the Emergency Department Reduces Re-hospitalizations for Low-Socioeconomic Patients with Acute Decompensated Heart Failure.
Article in The American journal of medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influence of Social Determinants of Health on Heart Failure Outcomes: A Systematic Review.Journal of the American Heart Association · 2023Pooled it
- Return on investment of community health workers in the United States: a systematic review.Lancet regional health. Americas · 2026Article
- Heart Failure Readmission Prevention Strategies-A Comparative Review of Medications, Devices, and Other Interventions.Journal of clinical medicine · 2025Review
- Evaluation of reporting in time-driven activity-based costing studies on cardiovascular diseases: a scoping review.Journal of comparative effectiveness research · 2025Article
- A mapping review of interventions to address patients who frequently seek care in the emergency department.BMC emergency medicine · 2024Article
- Social Determinants of Health and Cardiologist Involvement in the Care of Adults Hospitalized for Heart Failure.JAMA network open · 2023Article
- Good performance in the management of acute heart failure in cardiogeriatric departments: the ICREX-94 experience.BMC geriatrics · 2021Observational
- SALAD-BAAR: A numerical risk score for hospital admission or emergency department presentation in ambulatory patients with cardiovascular disease.Clinical cardiology · 2021Article
- Social determinants of health and hospital readmissions: can the HOSPITAL risk score be improved by the inclusion of social factors?BMC health services research · 2021Article
- Community Health Workers Reduce Rehospitalizations and Emergency Department Visits for Low-Socioeconomic Urban Patients With Heart Failure.Critical pathways in cardiology · 2020Article
- Impact of CardioMEMS device placement on lifestyle modifications: a "pseudo-placebo" effect beyond the expected?The Journal of international medical research · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundRe-hospitalization after discharge for acute decompensated heart failure is a common problem. Low-socioeconomic urban patients suffer high rates of re-hospitalization and often over-utilize the emergency department (ED) for their care. We hypothesized that early consultation with a cardiologist in the ED can reduce re-hospitalization and health care costs for low-socioeconomic urban patients with acute decompensated heart failure.
methodsThere were 392 patients treated at our center for acute decompensated heart failure who received standardized education and follow-up. Patients who returned to the ED received early consultation with a cardiologist; 392 patients who received usual care served as controls. Thirty- and 90-day re-hospitalization, ED re-visits, heart failure symptoms, mortality, and health care costs were recorded.
resultsDespite guideline-based education and follow-up, the rate of ED re-visits was not different between the groups. However, the rate of re-hospitalization was significantly lower in patients receiving the intervention compared with controls (odds ratio 0.592), driven by a reduction in the risk of readmission from the ED (0.56 vs 0.79, respectively). Patients receiving the intervention accumulated 14% fewer re-hospitalized days than controls and 57% lower 30-day total health care cost. Despite the reduction in health care resource consumption, mortality was unchanged. After accounting for the total cost of intervention delivery, the health care cost savings was substantially greater than the cost of intervention delivery.
conclusionEarly consultation with a cardiologist in the ED as an adjunct to guideline-based follow-up is associated with reduced re-hospitalization and health care cost for low-socioeconomic urban patients with acute decompensated heart failure.
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