{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1361699994201278336.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1161/circheartfailure.109.885210"}},{"identifier":{"@type":"URI","@value":"https://www.ahajournals.org/doi/full/10.1161/CIRCHEARTFAILURE.109.885210"}}],"dc:title":[{"@value":"Recent National Trends in Readmission Rates After Heart Failure Hospitalization"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background—</jats:italic>\n            </jats:bold>\n            In July 2009, Medicare began publicly reporting hospitals’ risk-standardized 30-day all-cause readmission rates (RSRRs) among fee-for-service beneficiaries discharged after hospitalization for heart failure from all the US acute care nonfederal hospitals. No recent national trends in RSRRs have been reported, and it is not known whether hospital-specific performance is improving or variation in performance is decreasing.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods and Results—</jats:italic>\n            </jats:bold>\n            We used 2004–2006 Medicare administrative data to identify all fee-for-service beneficiaries admitted to a US acute care hospital for heart failure and discharged alive. We estimated mean annual RSRRs, a National Quality Forum-endorsed metric for quality, using 2-level hierarchical models that accounted for age, sex, and multiple comorbidities; variation in quality was estimated by the SD of the RSRRs. There were 570 996 distinct hospitalizations for heart failure in which the patient was discharged alive in 4728 hospitals in 2004, 544 550 in 4694 hospitals in 2005, and 501 234 in 4674 hospitals in 2006. Unadjusted 30-day all-cause readmission rates were virtually identical over this period: 23.0% in 2004, 23.3% in 2005, and 22.9% in 2006. The mean and SD of RSRRs were also similar: mean (SD) of 23.7% (1.3) in 2004, 23.9% (1.4) in 2005, and 23.8% (1.4) in 2006, suggesting similar hospital variation throughout the study period.\n          </jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions—</jats:italic>\n            </jats:bold>\n            National mean and RSRR distributions among Medicare beneficiaries discharged after hospitalization for heart failure have not changed in recent years, indicating that there was neither improvement in hospital readmission rates nor in hospital variations in rates over this time period.\n          </jats:p>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1381699994201278464","@type":"Researcher","foaf:name":[{"@value":"Joseph S. Ross"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278339","@type":"Researcher","foaf:name":[{"@value":"Jersey Chen"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278341","@type":"Researcher","foaf:name":[{"@value":"Zhenqiu Lin"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278337","@type":"Researcher","foaf:name":[{"@value":"Héctor Bueno"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278467","@type":"Researcher","foaf:name":[{"@value":"Jeptha P. Curtis"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278344","@type":"Researcher","foaf:name":[{"@value":"Patricia S. Keenan"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278338","@type":"Researcher","foaf:name":[{"@value":"Sharon-Lise T. Normand"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278466","@type":"Researcher","foaf:name":[{"@value":"Geoffrey Schreiner"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278342","@type":"Researcher","foaf:name":[{"@value":"John A. Spertus"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278336","@type":"Researcher","foaf:name":[{"@value":"Maria T. Vidán"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278343","@type":"Researcher","foaf:name":[{"@value":"Yongfei Wang"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278340","@type":"Researcher","foaf:name":[{"@value":"Yun Wang"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]},{"@id":"https://cir.nii.ac.jp/crid/1381699994201278465","@type":"Researcher","foaf:name":[{"@value":"Harlan M. Krumholz"}],"jpcoar:affiliationName":[{"@value":"From the Departments of Geriatrics and Palliative Medicine (J.S.R.), Mount Sinai School of Medicine, New York, NY; HSR&D Research Enhancement Award Program and Geriatrics Research, Education, and Clinical Center (J.S.R.), James J. Peters Veterans Administration Medical Center, Bronx, NY; Section of Cardiovascular Medicine (J.C., J.P.C., H.M.K.), Department of Medicine, Yale University School of Medicine, New Haven, Conn; Center for Outcomes Research and Evaluation (J.C., Z.Q.L., J.P.C., G.S.,..."}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"19413289"},{"@type":"EISSN","@value":"19413297"}],"prism:publicationName":[{"@value":"Circulation: Heart Failure"}],"dc:publisher":[{"@value":"Ovid Technologies (Wolters Kluwer Health)"}],"prism:publicationDate":"2010-01","prism:volume":"3","prism:number":"1","prism:startingPage":"97","prism:endingPage":"103"},"reviewed":"false","url":[{"@id":"https://www.ahajournals.org/doi/full/10.1161/CIRCHEARTFAILURE.109.885210"}],"createdAt":"2009-11-11","modifiedAt":"2024-05-13","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360848662663556992","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Frequent drinking of small volumes improves cardiac function and survival in rats with chronic heart failure"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205102036864","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Trend of Westernization of Etiology and Clinical Characteristics of Heart Failure Patients in Japan"},{"@value":"Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan: First report from the CHART-2 Study"},{"@value":"CHART-2 Investigators. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan–first report from the CHART-2 study"},{"@value":"Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan—first report from the CHART-2 study"},{"@value":"Shimokawa H; CHART-2 Investigators.; CHART-2 Investigators. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan—first report from the CHART-2 study"},{"@value":"Shimokawa H; CHART-2 Investigators. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan -first report from the CHART-2 study"},{"@value":"CHART-2 Investigators. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan—first report from the CHART-2 study"},{"@value":"rend for westernization of etiology and clinical characteristics of heart failure patients in Japan"},{"@value":"Shimokawa H on behalf of the CHART-2 Investigators. Trend of westernization of etiology and clinical characteristics of heart failure patients in Japan: First report from the CHART-2 study"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205225685120","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Diuretics and Ultrafiltration in Acute Heart Failure Syndrom"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680203034240","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Incidence and Predictors of Rehospitalization of Acute Heart Failure Patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1390846609799246976","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Incidence and Clinical Significance of 30-Day and 90-Day Rehospitalization for Heart Failure Among Patients With Acute Decompensated Heart Failure in Japan　― From the NARA-HF Study ―"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1161/circheartfailure.109.885210"},{"@type":"CROSSREF","@value":"10.1536/ihj.54.390_references_DOI_Zoklyu7ISvGj0ZU0M8eQgc6knr1"},{"@type":"CROSSREF","@value":"10.14814/phy2.13497_references_DOI_Zoklyu7ISvGj0ZU0M8eQgc6knr1"},{"@type":"CROSSREF","@value":"10.1253/circj.cj-19-0620_references_DOI_Zoklyu7ISvGj0ZU0M8eQgc6knr1"},{"@type":"CROSSREF","@value":"10.1253/circj.cj-11-0135_references_DOI_Zoklyu7ISvGj0ZU0M8eQgc6knr1"},{"@type":"CROSSREF","@value":"10.1536/ihj.14-290_references_DOI_Zoklyu7ISvGj0ZU0M8eQgc6knr1"}]}