Heart failure & cardiomyopathies
Trends and Disparities in Ambulatory Follow-Up After Cardiovascular Hospitalizations : A Retrospective Cohort Study
Study context
- Population
- Medicare fee-for-service beneficiaries hospitalized for acute myocardial infarction (AMI) or heart failure (HF), 2010–2019hospitalizations
- Participants
- 1,678,088 vs 4,245,665
- Exposure
- AMI vs HF
- AMIn = 1,678,088
- HFn = 4,245,665
- Outcome
- Receipt of a cardiology visit
- Follow-up
- Within 30 days of discharge
Main finding
As reported in the abstract
Rate of cardiology follow-up · 2010 to 2019
2010
2019
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | |
|---|---|---|
| Follow-up, Black vs White patients · 2019 — Black vs White · AMI: 51.9% vs. 59.8% | difference 7.9 pp (95% CI 6.8–9.0) | |
| Follow-up, Black vs White patients · 2019 — Black vs White · HF: 39.8% vs. 48.7% | difference 8.9 pp (CI 8.2–9.7) | |
| Follow-up, Medicaid dual-eligible vs non-dual-eligible patients · 2019 — Medicaid dual-eligible vs Non-dual-eligible · AMI: 52.8% vs. 60.4% | difference 7.6 pp (CI 6.9–8.4) | |
| Follow-up, Medicaid dual-eligible vs non-dual-eligible patients · 2019 — Medicaid dual-eligible vs Non-dual-eligible · HF: 39.7% vs. 49.4% | difference 9.6 pp (CI 9.2–10.1) | |
| −5051015Difference, pp (linear scale) |
Variation in follow-up explained by differences between hospitals
Original publication
Trends and Disparities in Ambulatory Follow-Up After Cardiovascular Hospitalizations : A Retrospective Cohort Study. Ann Intern Med. Published 6 August 2024. doi:10.
Summarised from the published abstract; every number is checked against it