%0 Journal Article
%T The Impact of a Transition of Care Program on Acute Myocardial Infarction Readmission Rates
%A Amit Vira
%A David Whellan
%A Drew Johnson
%A Jeffrey A. Marbach
%A Juergen Kloo
%A Natalie Margules
%A Scott Keith
%A Walter K. Kraft
%J American Journal of Medical Quality
%@ 1555-824X
%D 2018
%R 10.1177/1062860618754702
%X Hospital discharge is a high-risk time period, and acute myocardial infarction (AMI) patients often have early readmissions. The authors hypothesized that a multifaceted AMI care coordination program would reduce early hospital readmission rates. The outcomes of patients receiving care coordination (n = 304) were compared to patients receiving standard care (n = 192). Multivariable analyses of the outcomes were conducted by conditional logistic regression of propensity score matched sets. The primary outcome¡ªhospital readmission within 30 days of discharge¡ªoccurred in 18% of standard care patients and 11.8% of care coordination patients. Patients receiving care coordination demonstrated a 48% reduction in odds of readmission within 30 days (odds ratio = 0.52; P = .04; 95% CI = 0.28-0.97). These results are the first to demonstrate that inclusion in an AMI-specific care coordination program is associated with a significantly lower risk of 30-day hospital readmission
%K acute myocardial infarction
%K care coordination
%K hospital readmission
%K transition of care
%U https://journals.sagepub.com/doi/full/10.1177/1062860618754702