{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:33:24Z","timestamp":1783740804253,"version":"3.55.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2013,9,10]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>Hospital readmission rates within 30 days after acute myocardial infarction are a national performance metric. Previous data suggest that early physician follow-up after heart failure hospitalizations can reduce readmissions; whether these results can be extended to acute myocardial infarction is unclear.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              We analyzed data from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the ACC\/AHA Guidelines (CRUSADE) Registry linked with Medicare claims from 2003 to 2006 for 25 872 non\u2013ST-segment\u2013elevation myocardial infarction patients \u226565 years of age discharged home from 228 hospitals with &gt;25 patients and full revascularization capabilities. After adjusting for patient, treatment, and hospital characteristics, we examined the relationship between hospital-level physician follow-up within 7 days of discharge and 30-day all-cause readmission using logistic regression. The median hospital-level percentage of patients receiving early physician follow-up was 23.3% (interquartile range, 17.1%\u201329.1%). Among 24 165 patients with Medicare fee-for-service eligibility 30 days after discharge, 18.5% of patients were readmitted within 30 days of index hospitalization. Unadjusted and adjusted rates of 30-day readmission did not differ among quartiles of hospital-level early physician follow-up. Similarly, each 5% increase in hospital early follow-up was associated with an insignificant change in risk for readmission (adjusted odds ratio, 0.99; 95% confidence interval, 0.97\u20131.02;\n              <jats:italic>P<\/jats:italic>\n              =0.60). Sensitivity analyses extended these null findings to 30-day cardiovascular readmissions, high-risk subgroups, and early cardiology follow-up.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>Although rates of early physician follow-up after acute myocardial infarction varied among US hospitals, hospitals with higher early follow-up rates did not have lower 30-day readmission rates. Targeting strategies other than early physician follow-up may be necessary to reduce readmissions in this population.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.113.004569","type":"journal-article","created":{"date-parts":[[2013,8,15]],"date-time":"2013-08-15T13:00:38Z","timestamp":1376571638000},"page":"1206-1213","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":43,"title":["Association of Early Physician Follow-Up and 30-Day Readmission After Non\u2013ST-Segment\u2013Elevation Myocardial Infarction Among Older Patients"],"prefix":"10.1161","volume":"128","author":[{"given":"Connie N.","family":"Hess","sequence":"first","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bimal R.","family":"Shah","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Andrew","family":"Peng","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laine","family":"Thomas","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Roe","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric D.","family":"Peterson","sequence":"additional","affiliation":[{"name":"From the Duke Clinical Research Institute, Durham, NC."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","unstructured":"Wier LM Andrews RM. Statistical Brief #107: the national hospital bill: the most expensive conditions by payer 2008. Healthcare cost and Utilization Project Web site. http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb107.pdf. Updated March 2011. Accessed January 18 2013."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/circoutcomes.110.957613"},{"key":"e_1_3_4_4_2","unstructured":"Patient Protection and Affordable Care Act of 2010 Public Law 111\u2013148 11th Congress. US Government Printing Office Web site. http:\/\/www.gpo.gov\/fdsys\/pkg\/PLAW-111publ148\/pdf\/PLAW-111publ148.pdf. Updated March 23 2010. 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