Search results for "Heart Failure"
Palliative care consults by default did not affect inpatient length of stay
Implementation of a default, opt-out palliative care consultation intervention for older hospital patients with advanced chronic illnesses did increase consult rates from 16.6% to 43.9% and significantly increased odds of discharge to hospice.
https://acphospitalist.acponline.org/archives/2024/01/24/palliative-care-consults-by-default-did-not-affect-inpatient-length-of-stay.htm
24 Jan 2024
Heart failure questionnaire a month after discharge identifies high-risk MI patients
Patients who reported very poor to fair health on the Kansas City Cardiomyopathy Questionnaire a month after hospitalization for a myocardial infarction (MI) had significantly higher risk of mortality than those reporting better health, with predictive symptoms including leg swelling.
https://acphospitalist.acponline.org/archives/2024/01/17/heart-failure-questionnaire-a-month-after-discharge-identifies-high-risk-mi-patients.htm
17 Jan 2024
Acute kidney injury
Documenting acute kidney injury frequently requires assessing the trajectory of a patient's creatinine levels.
https://acphospitalist.acponline.org/archives/2024/01/17/acute-kidney-injury.htm
17 Jan 2024
Study of Medicare claims finds good outcomes with hospital at home
Only 6.2% of Medicare fee-for-service patients who were hospitalized at home had to be escalated to another setting and 0.5% died during the admission, according to an analysis of 2022 to 2023 claims data. Their 30-day readmission rate was 15.6%.
https://acphospitalist.acponline.org/archives/2024/01/10/study-of-medicare-claims-finds-good-outcomes-with-hospital-at-home.htm
10 Jan 2024
Hospitals with higher proportion of Black patients hit with value-based Medicare penalties
Mortality rates for myocardial infarction and pneumonia were consistently higher at hospitals that treated a high proportion of Black patients, and that didn't change after implementation of Medicare's value-based payment program, a 10-year study found.
https://acphospitalist.acponline.org/archives/2024/01/10/hospitals-with-higher-proportion-of-black-patients-hit-with-value-based-medicare-penalties.htm
10 Jan 2024
IV iron reduces risk of death, hospitalization in heart failure, meta-analysis finds
The combined results of 14 trials testing IV iron in patients with iron deficiency and heart failures showed significant benefit from iron overall, with potentially greater effect in those with lower baseline transferrin saturation.
https://acphospitalist.acponline.org/archives/2024/01/03/iv-iron-reduces-risk-of-death-hospitalization-in-heart-failure-meta-analysis-finds.htm
3 Jan 2024
About 10% of home hospitalizations for HF require escalation of care
Median length of home hospital stay more than doubled when patients who were hospitalized at home for acute decompensated heart failure (HF) required transfer to an ED or medical inpatient unit, a retrospective study found.
https://acphospitalist.acponline.org/archives/2023/12/13/about-10percent-of-home-hospitalizations-for-hf-require-escalation-of-care.htm
13 Dec 2023
Surgical devices, ventilators, dialysis machines recalled
The FDA also approved first-time generics for spironolactone oral suspension and calcium gluconate, among other actions.
https://acphospitalist.acponline.org/archives/2023/11/15/surgical-devices-ventilators-dialysis-machines-recalled.htm
15 Nov 2023
Elevated NT-proBNP levels may predict adverse renal outcomes in AKI
Hospital patients with stage 2 or 3 acute kidney injury (AKI) were more likely to need dialysis, become dialysis-dependent, or die in the hospital if they had increased N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels at baseline.
https://acphospitalist.acponline.org/archives/2023/11/08/elevated-nt-probnp-levels-may-predict-adverse-renal-outcomes-in-aki.htm
8 Nov 2023
ED visits after discharge to SNF cost Medicare $24 million in 2019
Sixteen percent of Medicare patients who were discharged to a skilled nursing facility (SNF) came back to the ED within two weeks, and a quarter of those visits resulted in discharge back to the SNF the same day.
https://acphospitalist.acponline.org/archives/2023/11/01/ed-visits-after-discharge-to-snf-cost-medicare-24-million-in-2019.htm
1 Nov 2023