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Current Heart Failure Reports

, Volume 12, Issue 5, pp 309–317

Topical Collection on Epidemiology of Heart Failure

Abstract

Heart failure HF patients are at high risk of hospital readmission, which contributes to substantial health care costs. There is great interest in strategies to reduce rehospitalization for HF. However, many readmissions occur within 30 days of initial hospital discharge, presenting a challenge for interventions to be instituted in a short time frame. Potential strategies to reduce readmissions for HF can be classified into three different forms. First, patients who are at high risk of readmission can be identified even before their initial index hospital discharge. Second, ambulatory remote monitoring strategies may be instituted to identify early warning signs before acute decompensation of HF occurs. Finally, strategies may be employed in the emergency department to identify low-risk patients who may not need hospital readmission. If symptoms improve with initial therapy, low-risk patients could be referred to specialized, rapid outpatient follow-up care where investigations and therapy can occur in an outpatient setting.

KeywordsHeart failure Readmission Hospital Prevention Risk prediction Outcomes Health services delivery Health policy Richard Dunbar-Yaffe holds a MD; Audra Stitt holds a MSc; Shanas Mohamed holds a RN; Douglas S. Lee is a senior scientist at the Institute for Clinical Evaluative Sciences and an associate professor of medicine at the University of Toronto, and holds a MD and PhD.

This article is part of the Topical Collection on Epidemiology of Heart Failure

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Author: Richard Dunbar-Yaffe - Audra Stitt - Joseph J. Lee - Shanas Mohamed - Douglas S. Lee

Source: https://link.springer.com/



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