In this large retrospective cohort of over 2.5 million medicare beneficiaries hospitalized for CHF, researchers determined that neither mortality nor readmission rates have significantly changed over the course of 5 years (2001-2005) (abstract). Unadjusted all-cause mortality was about 11% at 1 month, 26% at 6 months, and 37% at 1 year, and readmission rates were about 23% at 1 month, 54% at 6 months, and 67% at 1 year. For medicare patients, it is astounding that within 1 month of heart failure hospitalization, 1 in 10 will die and 1 in 5 will be readmitted, and that despite our best efforts, these trends have not changed in the last 5 years.
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]