Back to Search
Start Over
Impact of a community-based cardiovascular disease service intervention in a highly deprived area.
- Source :
- Heart; Mar2020, Vol. 106 Issue 5, p374-379, 6p
- Publication Year :
- 2020
-
Abstract
- <bold>Objective: </bold>To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England.<bold>Methods: </bold>A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD).<bold>Results: </bold>Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed.<bold>Conclusion: </bold>This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions. [ABSTRACT FROM AUTHOR]
- Subjects :
- CARDIOVASCULAR diseases
CARDIOVASCULAR fitness
LENGTH of stay in hospitals
HOSPITAL admission & discharge
RATINGS of hospitals
CARDIOVASCULAR disease treatment
RESEARCH
HOSPITAL emergency services
RESEARCH methodology
COMMUNITY health services
EVALUATION research
MEDICAL cooperation
COMPARATIVE studies
HOSPITAL care
MEDICALLY underserved areas
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 13556037
- Volume :
- 106
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Heart
- Publication Type :
- Academic Journal
- Accession number :
- 141750381
- Full Text :
- https://doi.org/10.1136/heartjnl-2019-315047