ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018
Effect of early physician follow-up on mortality and subsequent hospital admissions after emergency care for heart failure: a retrospective cohort study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Association between social isolation and outpatient follow-up in older adults following emergency department discharge.Archives of gerontology and geriatricsTrial
- Time for Change: Strengthening Early Detection and Intervention Strategies to Improve Cardiovascular Health in Canada.CJC open · 2026Review
- Primary Care Attachment and Long-Term Mortality in Burn Survivors: A Population-Based Cohort Study.Journal of burn care & research : official publication of the American Burn Association · 2026Article
- Clinical Audit on Follow-Up Time of Patients Admitted With Acute Decompensated Heart Failure.Cureus · 2026Article
- Testing for Coronary Artery Disease in Patients Newly Diagnosed with Heart Failure in Alberta, Canada.CJC open · 2026Article
- Can Timely Outpatient Visits Reduce Readmissions and Mortality Among Heart Failure Patients?Journal of general internal medicine · 2024Article
- Article
- Alternatives to Hospitalization: Adding the Patient Voice to Advanced Heart Failure Management.CJC open · 2023Review
- The COVID-19 Pandemic Did Not Adversely Affect Follow-up Patterns for Patients With Heart Failure Discharged From Emergency Departments.The Canadian journal of cardiology · 2023Article
- Article
- Incidence of Timely Outpatient Follow-Up Care After Emergency Department Encounters for Acute Heart Failure.Circulation. Cardiovascular quality and outcomes · 2022Article
- Follow-up Post-discharge and Readmission Disparities Among Medicare Fee-for-Service Beneficiaries, 2018.Journal of general internal medicine · 2022Article
- Association of Early Physician Follow-up With Readmission Among Patients Hospitalized for Acute Myocardial Infarction, Congestive Heart Failure, or Chronic Obstructive Pulmonary Disease.JAMA network open · 2022Article
- Impact of an electronic medical record-based appointment order on outpatient cardiology follow-up after hospital discharge.NPJ digital medicine · 2021Article
- Article
- Real-World Analysis of Guideline-Based Therapy After Hospitalization for Heart Failure.Journal of the American Heart Association · 2020Observational
- Effects of early physician follow-up.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- 30-Day Potentially Preventable Hospital Readmissions In Older Patients: Clinical Phenotype And Health Care Related Risk Factors.Clinical interventions in aging · 2019Article
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8 authors at 5 institutions in 2 countries.
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Abstract
backgroundThe 1-year mortality rate in patients with heart failure who are discharged from an emergency department is 20%. We sought to determine whether early follow-up after discharge from the emergency department was associated with decreased mortality or subsequent admission to hospital.
methodsThis retrospective cohort study conducted in Ontario, Canada, included adult patients who were discharged from 1 of 163 emergency departments between April 2007 and March 2014 with a primary diagnosis of heart failure. Using a propensity score-matched landmark analysis, we assessed follow-up in relation to mortality and admissions to hospital for cardiovascular conditions.
resultsOf 34 519 patients, 16 274 (47.1%) obtained follow-up care within 7 days and 28 846 (83.6%) within 30 days. Compared with follow-up between day 8 and 30, patients with follow-up care within 7 days had a lower rate of mortality over 1 year (hazard ratio [HR] 0.92; 95% confidence interval [CI] 0.87-0.97), and a reduced rate of admission to hospital over 90 days (HR 0.87, 95% CI 0.80-0.94) and 1 year (HR 0.92; 95% CI 0.87-0.97); the mortality rate over 90 days in this group trended to a lower rate (HR 0.90, 95% CI 0.10-1.00). Follow-up care within 30 days, compared with patients without 30-day follow-up, was associated with a reduction in 1-year mortality (HR 0.89, 95% CI 0.82-0.97) but not admission to hospital (HR 1.02, 95% CI 0.94-1.10). In this group, there was a trend toward an increase in 90-day admission to hospital (HR 1.14, 95% CI 1.00-1.29).
interpretationFollow-up care within 7 days of discharge from the emergency department was associated with lower rates of long-term mortality, as well as subsequent hospital admissions, and a trend to lower short-term mortality rates. Timely access to longitudinal care for patients with heart failure who are discharged from the emergency setting should be prioritized.
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