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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 (2019) Impact of a community-based cardiovascular disease service intervention in a highly deprived area. Heart. ISSN 1355-6037
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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 |
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| 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: | 04 Sep 2021 09:02 |
| DOI or ID number: | 10.1136/heartjnl-2019-315047 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/11160 |
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