ArticleCJC open2026
Barriers of Successful Implementation of Discharge Criteria at a Tertiary Heart Function Clinic: A Retrospective Cohort Analysis.
Article in CJC open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
13 authors.
Funding
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Abstract
Background: Most heart function clinics cannot absorb their high volume of referrals. The effectiveness of clinic discharge protocols to offload stable patients is understudied. We examined predictors and barriers of implementing discharge criteria at our tertiary heart function clinic. Methods: This is a retrospective analysis of discharge protocol implementation between August 1, 2023 and March 31, 2024. Outcomes were discharge and rates of acute care utilization within 6-months postdischarge. Results: Of 153 patients reviewed, 92 were suitable for discharge, but only 56 of 92 (60.9%) were discharged. Discharge failure was associated with the following: atrial fibrillation (66.7% not discharged vs 30.4% discharged; Conclusions: Discharge rate from our clinic is suboptimal, which impedes timely care for new referrals. We identified several patient- and provider-specific barriers to discharge. More studies are needed to explore this important area.
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