作者
Héctor Bueno, Joseph S Ross, Yun Wang, Jersey Chen, María T Vidán, Sharon-Lise T Normand, Jeptha P Curtis, Elizabeth E Drye, Judith H Lichtman, Patricia S Keenan, Mikhail Kosiborod, Harlan M Krumholz
发表日期
2010/6/2
期刊
Jama
卷号
303
期号
21
页码范围
2141-2147
出版商
American Medical Association
简介
Context
Whether decreases in the length of stay during the past decade for patients with heart failure (HF) may be associated with changes in outcomes is unknown.
Objective
To describe the temporal changes in length of stay, discharge disposition, and short-term outcomes among older patients hospitalized for HF.
Design, Setting, and Participants
An observational study of 6 955 461 Medicare fee-for-service hospitalizations for HF between 1993 and 2006, with a 30-day follow-up.
Main Outcome Measures
Length of hospital stay, in-patient and 30-day mortality, and 30-day readmission rates.
Results
Between 1993 and 2006, mean length of stay decreased from 8.81 days (95% confidence interval [CI], 8.79-8.83 days) to 6.33 days (95% CI, 6.32-6.34 days). In-hospital mortality decreased from 8.5% (95% CI, 8.4%-8.6%) in 1993 to 4.3% (95% CI, 4.2%-4.4%) in 2006, whereas 30-day mortality decreased from 12.8% (95 …
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H Bueno, JS Ross, Y Wang, J Chen, MT Vidán… - Jama, 2010