Author + information
- Emmanuel Akintoye,
- Alexandros Briasoulis,
- Vwaire Orhurhu,
- Walid Ibrahim,
- Kartik Kumar,
- Hala Nas and
- Jarrett Weinberger
Background: We sought to investigate the impact of hospital ownership on hospitalization outcomes in heart failure (HF) patients.
Methods: Using the National Inpatient Sample for HF hospitalizations in the U.S (2011-2013), we evaluated the impact of hospital ownership on clinical outcomes (i.e. mortality, length of stay, and disposition), actual cost, and hospital charge. Analysis was conducted via multivariate-adjusted mixed effect models.
Results: ≈3 million adults with mean (SD) age of 73 (14) were hospitalized for HF in the U.S. over the study period. Overall, mortality rate was 3.1%. Compared to Government hospitals, there was significantly lower mortality in private (non-profit) hospitals (OR: 0.92 [0.86-0.97]) and private (investor-owned) hospitals (OR: 0.89 [0.83-0.96]) (Fig 1). Median length of stay was the same (i.e. 4 days) across all 3 tiers of ownership. However, there was significant difference in disposition of patients who survived till hospital discharge e.g. government hospitals tend to have higher percentage (i.e. 59%) of routine home discharge (Fig 2). Lastly, actual cost per hospitalization was higher among private (non-profit) hospitals but the private (investor-owned) hospitals tend to charge more than the other tiers with charge-to-cost ratio of 5:1 (Fig 3)
Conclusions: Among patients with HF, hospitalization in private hospitals was associated with lower in-hospital mortality but higher actual cost and hospital charge compared with government hospitals.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Acute Heart Failure: Evaluating Strategies to Prevent Readmissions
Abstract Category: 13. Heart Failure and Cardiomyopathies: Clinical
Presentation Number: 1163-262
- 2017 American College of Cardiology Foundation