Facial reconstruction

Search LJMU Research Online

Browse Repository | Browse E-Theses

Impact of a community-based cardiovascular disease service intervention in a highly deprived area

Downing, J, Rose, T, Saini, P, Matata, B, McIntosh, Z, Comerford, T, Wilson, K, Pemberton, A, Harper, L, Shaw, M, Daras, K and Barr, B Impact of a community-based cardiovascular disease service intervention in a highly deprived area. Heart. ISSN 1355-6037 (Accepted)

[img] Text
Impact of a community-based cardiovascular disease service intervention in a highly deprived area.pdf - Accepted Version
Restricted to Repository staff only

Download (398kB)

Abstract

Objective: To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England.
Methods: A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, five years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay, and re-admission rates for cardiovascular disease (CVD).
Results: Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100,000 population per year [95% CI 22.13 to 108.98] in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed.
Conclusion: This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Natural Sciences & Psychology (closed 31 Aug 19)
Publisher: BMJ Publishing Group
Date Deposited: 07 Aug 2019 09:26
Last Modified: 07 Aug 2019 09:30
URI: http://researchonline.ljmu.ac.uk/id/eprint/11160

Actions (login required)

View Item View Item