{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:34:09Z","timestamp":1793378049917,"version":"4.5.0"},"reference-count":0,"publisher":"Saudi Heart Association","issue":"2","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Saudi Heart Association"],"abstract":"<jats:p>Objectives: Heart failure [HF] hospital readmissions are a continued challenge in the care of HF patients, which contribute substantially to the high costs of the disease and high mortality rate in lower to middle income country. We implemented a quality improvement project to improve patient outcomes and resource utilization. Methods: This study was a prospective cohort design with a historical comparison group. It was conducted to assess the difference in 30-day readmissions and mortality and to assess compliance rate with HF guideline between the historical pre-intervention audit 1 cohort and prospective post-intervention audit 2 cohorts. Audit 1 cohort were recruited from January to February 2019, whereas, audit 2 cohort which received the bundled intervention program were recruited from July to December 2019. Clinical outcomes were compared between cohorts using 30-day readmissions and mortality. Results: A total of 50 and 164 patients were included in audit 1 and audit 2 cohort, respectively. Patients in the audit 2 cohort were younger [63.0 \u00b1 14.5 in audit 1 vs 56.5 \u00b1 12.7 in audit 2, p \u00bc 0.003] and majority were male [50.0% in audit 1 vs 72.0% in audit2, p \u00bc 0.004]. Thirty-day readmissions were significantly different [36.0% audit 1 vs. 22.0% audit 2, p \u00bc 0.045], but the mortality rates were similar [4.0%% audit 1 vs. 5.5% audit 2, p \u00bc 0.677] between two cohorts. Conclusion: A significant decrease in 30-day readmissions was observed in the post-intervention audit 2 cohort in our setting. Further study in larger population and prolong study follow-up is warranted.<\/jats:p>","DOI":"10.37616\/2212-5043.1247","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T04:11:57Z","timestamp":1620274317000},"page":"149-156","source":"Crossref","is-referenced-by-count":2,"title":["A Quality Improvement Approach to Reduce 30-Day Readmissions and Mortality in Patients with Acute Decompensated Heart Failure"],"prefix":"10.37616","volume":"33","author":[{"given":"Yee Yin","family":"Hoo","sequence":"first","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wardati","family":"Mazlan-Kepli","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan Nurul Huda Wan","family":"Hasan","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashanthini","family":"Devadas","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan Yee","family":"Chow","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian Yi","family":"Sow","sequence":"additional","affiliation":[{"name":"Pharmacy Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azrol Amar","family":"Azizan","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul","family":"Muizz Abd Malek","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glendon","family":"Seng Kiong Lau","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping Lik","family":"Chua","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"24531","published-online":{"date-parts":[[2021,5,5]]},"container-title":["Journal of the Saudi Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.j-saudi-heart.com\/cgi\/viewcontent.cgi?article=1247&amp;context=jsha","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:40:39Z","timestamp":1793374839000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.j-saudi-heart.com\/jsha\/vol33\/iss2\/5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,5]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,5,5]]}},"URL":"https:\/\/doi.org\/10.37616\/2212-5043.1247","relation":{},"ISSN":["2212-5043"],"issn-type":[{"value":"2212-5043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,5]]}}}