30-day home time spent after discharge is considered an important patient-centric important metric in patients with hospitalization after heart failure. This study aims to determine the risk-adjusted 30-day hometime in patients discharged after being hospitalized for heart failure, along with its association with 30-day risk-standardization readmission rate.
This hospital-level cohort study analyzed a total of 2,968,341 patients who were admitted to the hospital for heart failure (HF). The home time, defined as the time spent alive out of the hospital facility, was considered. The primary outcome of the study was the risk-adjusted 30-day home time for HF.
The findings suggested that the risk-adjusted 30-day home time for patients hospitalized for HF was 21.77 days. Larger hospitals with a higher volume of patients with HF were in the highest quartile of risk-adjusted home time. These hospitals and facilities were also found to be more academic with the availability of cardiac rehabilitation and cardiac surgery. The findings confirmed that 30-dau home time reclassified hospital performance in 30% of the hospitals.
The research concluded that 30-day home time in patients discharged after HF-related hospitalization was a hospital-level quality metric. It was also found to be associated with readmission and mortality outcomes.