Evidence map›Paper›PMID 32800510›Full record

ArticleJACC. Heart failure2020

Home Health Care Use and Post-Discharge Outcomes After Heart Failure Hospitalizations.

Madeline R Sterling, Lisa M Kern, Monika M Safford, Christine D Jones, Penny H Feldman, Gregg C Fonarow, Shubin Sheng, Roland A Matsouaka, Adam D DeVore, Barbara Lytle and 5 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Heart failure readmissions in urban and rural hospital settings: An analysis of 30-day readmissions using the 2021 Nationwide Readmissions Database.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
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  8. Review
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  10. Developing a clinical decision support framework for integrating predictive models into routine nursing practices in home health care for patients with heart failure.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

Madeline R SterlingWeill Cornell Medicine, New York, New York, USA. Electronic address: mrs9012@med.cornell.edu.
Lisa M KernWeill Cornell Medicine, New York, New York, USA.
Monika M SaffordWeill Cornell Medicine, New York, New York, USA.
Christine D JonesUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Penny H FeldmanVisiting Nurse Service of New York, New York, New York, USA.
Gregg C FonarowUniversity of California Los Angeles, Los Angeles, California, USA.
Shubin ShengDuke Clinical Research Institute, Durham, North Carolina, USA.
Roland A MatsouakaDuke University, Durham, North Carolina, USA.
Adam D DeVoreDuke University, Durham, North Carolina, USA.
Barbara LytleDuke University, Durham, North Carolina, USA.
Haolin XuDuke University, Durham, North Carolina, USA.
Larry A AllenUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Anita DeswalUniversity of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Clyde W YancyNorthwestern University, Chicago, Illinois, USA.
Nancy M AlbertCleveland Clinic, Cleveland, Ohio, USA.
Duke University · USCornell University · USUniversity of Colorado Denver · USCleveland Clinic · USClinical Research Institute · USNorthwestern University · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Los Angeles · USVisiting Nurse Service of New York · US

Funding

Leveraging Home Health Aides to Improve Outcomes in Heart FailureK23HL150160 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI STERLING, MADELINE R · 2020 to 2024
$921k
NHLBI NIH HHS K23 HL150160
6 · The paper itself

Abstract

objectivesThis study compared the characteristics of Medicare beneficiaries who were hospitalized for heart failure (HF) and then discharged home who received home health care (HHC) to the characteristics of those who did not, and examined associations among HHC and readmission and mortality rates.

backgroundAfter hospitalization for HF, some patients receive HHC. However, the use of HHC over time, the factors associated with its use, and the post-discharge outcomes after receiving it are not well studied.

methodsThis study used Get With The Guidelines-HF data, merged with Medicare fee-for-service claims. Propensity score matching and Cox proportional hazards models were used to evaluate the associations between HHC and post-discharge outcomes.

resultsFrom 2005 to 2015, 95,531 patients were admitted for HF, and 32,697 (34.2%) received HHC after discharge. The rate of HHC increased over time from 31.4% to 36.1% (p < 0.001). HHC recipients were older, more likely to be female, and had more comorbidities. HHC was associated with a higher risk of all-cause 30-day readmission (hazard ratio [HR]: 1.25; 95% confidence interval [CI]: 1.20 to 1.30), HF-specific 30-day readmission (HR: 1.20; 95% CI: 1.13 to 1.28), all-cause 90-day readmission (HR: 1.23; 95% CI: 1.19 to 1.26), HF-specific 90-day readmission (HR: 1.16; 95% CI: 1.11 to 1.22), and all-cause 30-and 90-day mortality, respectively (HR: 1.70; 95% CI: 1.56 to 1.86) and HR: 1.49; 95% CI: 1.41 to 1.57) compared to those who did not receive HHC.

conclusionsUse of HHC after HF hospitalization increased among Medicare beneficiaries. HHC recipients were older and sicker than non-HHC recipients. Although HHC was associated with a higher risk of readmissions and mortality, this finding should be interpreted cautiously, given the presence of unmeasured variables that could affect receipt of HHC. Research is needed to determine whether the results reflect appropriate health care use.

Indexed as

Heart FailureHome Care ServicesAftercareAgedFemaleHospitalizationHumansMaleMedicarePatient DischargePatient ReadmissionUnited Statesheart failurehome health caremortalityreadmission

Identifiers

PMID32800510
PMCPMC8538886
OpenAlexW3048380980

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.