Death and readmission in the year after hospital admission with cardiovascular disease: the Hunter Area Heart and Stroke Register

Heller, R. F., Fisher, J. D., D'Este, C. A., Lim, L. L. Y., Dobson, A. J. and Porter, R. (2000) Death and readmission in the year after hospital admission with cardiovascular disease: the Hunter Area Heart and Stroke Register. Medical Journal of Australia, 172 6: 261-265.


Author Heller, R. F.
Fisher, J. D.
D'Este, C. A.
Lim, L. L. Y.
Dobson, A. J.
Porter, R.
Title Death and readmission in the year after hospital admission with cardiovascular disease: the Hunter Area Heart and Stroke Register
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2000-01-01
Sub-type Article (original research)
Volume 172
Issue 6
Start page 261
End page 265
Total pages 5
Language eng
Subject 11 Medical and Health Sciences
Abstract Objectives: To compare outcomes one year after hospital admission for patients initially discharged with a diagnosis of acute myocardial infarction (AMI), other ischaemic heart disease (other IHD), congestive heart failure (CHF) or stroke. Design: Cohort study. Setting: Hunter Area Heart and Stroke Register, which registers all patients admitted with heart disease or stroke to any of the 22 hospitals in the Hunter Area Health Service in New South Wales. Patients: 4981 patients with AMI, other IHD, CHF or stroke admitted to hospital as an emergency between 1 July 1995 and 30 June 1997 and followed for at least one year. Main outcome measures: Death from any cause or emergency hospital readmission for cardiovascular disease. Results: In-hospital mortality varied from 1% of those with other IHD to 22% of those with stroke. Almost a third of all patients discharged alive (and 38% of those aged 70 or more) had died or been readmitted within one year. This varied from 22% of those with stroke to 49% of those with CHF. The causes of death and readmission were from a spectrum of cardiovascular disease, regardless of the cause of the original hospital admission. Conclusions: Data from this population register show the poor outcome, especially with increasing age, among patients admitted to hospital with cardiovascular disease. This should alert us to determine whether optimal secondary prevention strategies are being adopted among such patients.
Keyword Medicine, General & Internal
Acute Myocardial-infarction
Mortality
Failure
Risk
Validation
Women
Index
Mode
Age
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Mon, 13 Aug 2007, 21:41:47 EST