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Cited by 580

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Patterns of Hospital Performance in Acute Myocardial Infarction and Heart Failure 30-Day Mortality and Readmission

Krumholz, Harlan M., Merrill, Angela R., Schone, Eric M., Schreiner, Geoffrey C., Chen, Jersey, Bradley, Elizabeth H., Wang, Yun, Wang, Yongfei, Lin, Zhenqiu, Straube, Barry M., Rapp, Michael T., Normand, Sharon-Lise T., Drye, Elizabeth E.·2009·Circulation: Cardiovascular Quality and Outcomes

Abstract

Background— In 2009, the Centers for Medicare & Medicaid Services is publicly reporting hospital-level risk-standardized 30-day mortality and readmission rates after acute myocardial infarction (AMI) and heart failure (HF). We provide patterns of hospital performance, based on these measures. Methods and Results— We calculated the 30-day mortality and readmission rates for all Medicare fee-for-service beneficiaries ages 65 years or older with a primary diagnosis of AMI or HF, discharged between July 2005 and June 2008. We compared weighted risk-standardized mortality and readmission rates across Hospital Referral Regions and hospital structural characteristics. The median 30-day mortality rate was 16.6% for AMI (range, 10.9% to 24.9%; 25th to 75th percentile, 15.8% to 17.4%; 10th to 90th percentile, 14.7% to 18.4%) and 11.1% for HF (range, 6.6% to 19.8%; 25th to 75th percentile, 10.3% to 12.0%; 10th to 90th percentile, 9.4% to 13.1%). The median 30-day readmission rate was 19.9% for AMI (range, 15.3% to 29.4%; 25th to 75th percentile, 19.5% to 20.4%; 10th to 90th percentile, 18.8% to 21.1%) and 24.4% for HF (range, 15.9% to 34.4%; 25th to 75th percentile, 23.4% to 25.6%; 10th to 90th percentile, 22.3% to 27.0%). We observed geographic differences in performance across the country. Although there were some differences in average performance by hospital characteristics, there were high and low hospital performers among all types of hospitals. Conclusions— In a recent 3-year period, 30-day risk-standardized mortality rates for AMI and HF varied among hospitals and across the country. The readmission rates were particularly high.

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Metadata

Authors
Krumholz, H. M., Merrill, A. R., Schone, E. M., Schreiner, G. C., Chen, J., Bradley, E. H., Wang, Y., Wang, Y., Lin, Z., Straube, B. M., Rapp, M. T., Normand, S.-L. T., & Drye, E. E.
Venue
Circulation: Cardiovascular Quality and Outcomes
Published
2009-09
Volume
2
Issue
5
Pages
407-413
ISSN
  • 1941-7705 (ISSN-L)
  • 1941-7713
OpenAlex
W2160865775
Cited by
580
References
13
FWCI
56.60
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Patterns of Hospital Performance in Acute Myocardial Infarction and Heart Failure 30-Day Mortality and Readmission. https://app.cochat.ai/papers/10.1161/circoutcomes.109.883256
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Krumholz, H. M., Merrill, A. R., Schone, E. M., Schreiner, G. C., Chen, J., Bradley, E. H., Wang, Y., Wang, Y., Lin, Z., Straube, B. M., Rapp, M. T., Normand, S.-L. T., & Drye, E. E. (2009). Patterns of Hospital Performance in Acute Myocardial Infarction and Heart Failure 30-Day Mortality and Readmission. Circulation: Cardiovascular Quality and Outcomes. https://doi.org/10.1161/circoutcomes.109.883256

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