In Busy Hospitals, Congestive Heart Failure Outcomes Better

Lower mortality rates and fewer readmissions, but higher costs in high-volume hospitals

THURSDAY, Jan. 20 (HealthDay News) -- Experience with treating congestive heart failure, as measured by hospital volume, is associated with decreased mortality and fewer readmissions; but the cost per patient is higher, according to a study published in the Jan. 18 issue of Annals of Internal Medicine.

Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health in Boston, and colleagues conducted a retrospective cohort study of patients aged 65 years and older who were discharged from 4,095 U.S. hospitals with a primary discharge diagnosis of congestive heart failure. Mortality rates, readmission rates, cost per discharge, and Hospital Quality Alliance congestive heart failure process measures were examined. Data from National Medicare claims were used to identify the relationship between hospital case volume and quality, outcome, and cost for patients.

The researchers found that high-volume hospitals performed significantly better than medium- or low-volume hospitals (89.1, 87.0, and 80.2 percent, respectively), for performance on the process measures. Within the low-volume hospital group, patients had lower mortality, lower readmission, and higher costs where the hospital had higher case volumes. Similar, though smaller, relationships were identified for mortality and costs in the medium- and high-volume hospital groups.

"Hospitals with greater experience caring for patients with congestive heart failure provide better care, with better outcomes, to a sicker patient population—but do so at a higher cost," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95

Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95

Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events