Congestive Heart Failure Readmission Rates Decline After Patient Navigator Implementation in COVID-19 Era

Jason Lauf, Elizabeth Keller, Anthony Miniaci, Meghan Ramic, Farshad Forouzandeh, James Hill
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Abstract

Heart failure is a leading cause of hospitalizations, with a growing prevalence and a high readmission rate. Hospitalization and readmission affect both patient stress and hospital finances. The COVID-19 pandemic and broader economic conditions placed additional stress on hospitals in recent years. In response, our hospital implemented a heart failure navigator program during the COVID-19 pandemic to prevent readmissions. We monitored the readmission and mortality rates of patients hospitalized for heart failure in 2018 and 2019 (before implementation) against 2020 and 2021 (after implementation). There were 235 readmissions with 28 deaths before implementation and 156 readmissions with 17 deaths after implementation. The reduction in readmission was significant (p = .0185), with an insignificant reduction in mortality (p = .2674). This indicates that the reduction in readmission rate was secondary to navigator implementation, not patient mortality. In conclusion, a multifactorial HF navigator can reduce HF readmission, even when implemented during a pandemic that causes increased patient morbidity.
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COVID-19时代实施患者导航后充血性心力衰竭再入院率下降
心力衰竭是住院治疗的主要原因,发病率不断上升,再入院率也很高。住院和再入院会影响病人的压力和医院的财务状况。近年来,COVID-19大流行和更广泛的经济状况给医院带来了额外的压力。为此,我们医院在COVID-19大流行期间实施了心力衰竭导航计划,以防止再入院。我们监测了2018年和2019年(实施前)与2020年和2021年(实施后)因心力衰竭住院患者的再入院率和死亡率。实施前有235人再入院,28人死亡,实施后有156人再入院,17人死亡。再入院率显著降低(p = 0.0185),死亡率不显著降低(p = 0.2674)。这表明再入院率的降低是继发于导航器的实施,而不是患者死亡率。总之,多因素心衰导航可以减少心衰再入院,即使在导致患者发病率增加的大流行期间实施也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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