Abstract | INTRODUCTION: METHODS: We used a cross-sectional design to examine the association between hospital risk-adjusted readmission and mortality rates for COPD and hospital use of post-discharge telemonitoring (TM). Data for 777 hospitals were sourced from the Centers for Medicare & Medicaid Services and the American Hospital Association annual surveys. Propensity score matching using the kennel weights method was applied to calculate the weighted probability of being a hospital that offers post-discharge TM services. RESULTS: Hospitals with post-discharge TM had about 34% significantly higher odds (adjusted odds ratio (AOR) = 1.34; 95% confidence interval (CI) 1.06-1.70) of 30-day COPD readmission and 33% significantly lower odds (AOR = 0.67; 95% CI 0.50-0.90) of 30-day COPD mortality compared to hospitals without post-discharge TM services. DISCUSSION: Overall, hospitals that offer post-discharge TM services have seen an improvement in 30-day COPD mortality rates. However, those same hospitals have also experienced a significant increase in 30-day COPD readmissions. TM can potentially decrease mortality in patients recently admitted for acute exacerbation of COPD. The results provide further evidence that readmissions present a problematic assessment of health-care quality, as the need for readmission may or may not be directly related to the quality of care received while in hospital.
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Authors | Hanadi Y Hamadi, Dayana Martinez, Jing Xu, Geoffrey A Silvera, Jorge M Mallea, Walaa Hamadi, Xinmei Li, Yueping Li, Mei Zhao |
Journal | Journal of telemedicine and telecare
(J Telemed Telecare)
Vol. 29
Issue 2
Pg. 117-125
(Feb 2023)
ISSN: 1758-1109 [Electronic] England |
PMID | 33176540
(Publication Type: Journal Article)
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Topics |
- Humans
- Aged
- United States
- Patient Readmission
- Patient Discharge
- Cross-Sectional Studies
- Aftercare
- Medicare
- Pulmonary Disease, Chronic Obstructive
(therapy)
- Retrospective Studies
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