Heart-failure patients at eight Michigan hospitals taking part in a quality-improvement effort had lower mortality and readmission rates than those at six nonparticipating hospitals, according to a study. The participating hospitals reduced their 30-day mortality rate to 7% from 9.4% during the two-year study, while the nonparticipating hospitals saw mortality increase to 10.7% from 8.5%. The 30-day readmission rate fell to 21.7% from 26.1% at participating hospitals, compared with a slight increase at nonparticipating hospitals, according to study data presented at the American Heart Association's annual scientific meeting. Participants used standard medication orders; in-hospital counseling for exercise, diet and smoking cessation; and a patient-discharge contract that included weight and symptom diaries, a diet plan and a scheduled clinical appointment soon after discharge. -- by Andis Robeznieks
Collaborative reports lower heart-failure mortality
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