Trends in Hospice Discharge and Relative Outcomes Among Medicare Patients in the Get With The Guidelines-Heart Failure Registry.

ABSTRACT:

Importance

While 1 in 10 older patients hospitalized with heart failure (HF) die within 30 days, end-of-life care for this population is not well described.

Objective

To assess rates of discharge to hospice, readmission after hospice, and survival in hospice in patients following hospital discharge.

Design, setting, and participants

In this observational cohort analysis of patients in the multicenter American Heart Association Get With The Guidelines (GWTG)-HF registry linked to Medicare fee-for-service claims data, we analyzed patients 65 years and older discharged alive from the hospital between 2005 and 2014. We compared 4588 patients discharged to hospice with 4357 patients with advanced HF (ejection fraction ≤25% and any of the following: inpatient inotrope use,

SUBMITTER: Warraich HJ 

PROVIDER: S-EPMC6233829 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature