National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Cardiovascular Conditions (3)
- Chronic Conditions (1)
- Evidence-Based Practice (1)
- (-) Heart Disease and Health (3)
- Home Healthcare (1)
- Hospital Readmissions (1)
- (-) Hospitals (3)
- Long-Term Care (1)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 3 of 3 Research Studies DisplayedKundi H, Strom JB, Valsdottir LR
Trends in isolated surgical aortic valve replacement according to hospital-based transcatheter aortic valve replacement volumes.
This research analyzed trends in isolated surgical aortic valve replacement (SAVR) procedures with the advent of the transcatheter aortic valve replacement (TAVR) procedure. Hospitalizations of adults from January 2011 through December 2014 was analyzed with data from the Medicare Provider Analysis and Review database using ICD-9 Revision-Clinical Modification procedure codes. The annual value of isolated SAVR went down as TAVR volumes increased which also decreased short- and long-term mortality over the study period.
AHRQ-funded; HS024520.
Citation: Kundi H, Strom JB, Valsdottir LR .
Trends in isolated surgical aortic valve replacement according to hospital-based transcatheter aortic valve replacement volumes.
JACC Cardiovasc Interv 2018 Nov 12;11(21):2148-56. doi: 10.1016/j.jcin.2018.07.002..
Keywords: Surgery, Heart Disease and Health, Cardiovascular Conditions, Hospitals
Goldstone AB, Chiu P, Baiocchi M
Interfacility transfer of Medicare beneficiaries with acute type a aortic dissection and regionalization of care in the United States.
Researchers investigated the hypothesis that regionalizing care at high-volume hospitals for acute type A aortic dissections will lower mortality. Operative mortality and long-term survival were compared for Medicare beneficiaries diagnosed with an acute type A aortic dissection who were transferred versus not transferred, underwent surgery at high-volume versus low-volume hospitals, and were rerouted versus not rerouted to a high-volume hospital for treatment. The researchers found that, despite delaying surgery, a regionalization policy that transfers patients to high-volume hospitals was associated with a 7.2% absolute risk reduction in operative mortality. They recommended that policymakers evaluate the feasibility and benefits of regionalizing the surgical treatment of acute type A aortic dissection in the United States.
AHRQ-funded; HS022192.
Citation: Goldstone AB, Chiu P, Baiocchi M .
Interfacility transfer of Medicare beneficiaries with acute type a aortic dissection and regionalization of care in the United States.
Circulation 2019 Oct 8;140(15):1239-50. doi: 10.1161/circulationaha.118.038867..
Keywords: Transitions of Care, Medicare, Heart Disease and Health, Cardiovascular Conditions, Patient-Centered Outcomes Research, Risk, Evidence-Based Practice, Mortality, Hospitals
Popescu I, Sood N, Joshi S
Trends in the use of skilled nursing facility and home health care under the Hospital Readmissions Reduction Program: an interrupted time-series analysis.
Medicare's Hospital Readmission Reduction Program penalizes hospitals with elevated 30-day readmission rates for acute myocardial infarction, heart failure, or pneumonia. The authors investigated if, in order to reduce readmissions, hospitals may have increased referrals to skilled nursing facilities and home health care. They found that hospitals might be shifting to more intensive postacute care to avoid readmissions among seniors with pneumonia. At the same time, penalized hospitals' efforts to prevent readmissions may be keeping higher proportions of their patients in the community.
AHRQ-funded; HS024284; HS025394.
Citation: Popescu I, Sood N, Joshi S .
Trends in the use of skilled nursing facility and home health care under the Hospital Readmissions Reduction Program: an interrupted time-series analysis.
Med Care 2019 Oct;57(10):757-65. doi: 10.1097/mlr.0000000000001184..
Keywords: Home Healthcare, Nursing Homes, Chronic Conditions, Hospital Readmissions, Long-Term Care, Hospitals, Heart Disease and Health, Pneumonia, Cardiovascular Conditions