A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur

Cardiovascular mortality is within the top five causes of death from non-communicable disease based on World Health Organization profile. Around 20% of heart failure patients are readmitted within 30 days worldwide. Readmission within 30 days for congestive heart failure often related to non-complia...

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Main Authors: Wong, CM, Abdullah Aliff AW, Mohd Shahrol AW, Diana Safraa Selimin, Lavanyah S, Hamat Hamdi Che Hassan, Amrizal MN, Aljunid SM, Aniza Ismail
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf
http://journalarticle.ukm.my/15116/
http://www.medicineandhealthukm.com/toc/15/1
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Institution: Universiti Kebangsaan Malaysia
Language: English
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spelling my-ukm.journal.151162020-08-26T02:05:30Z http://journalarticle.ukm.my/15116/ A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur Wong, CM Abdullah Aliff AW, Mohd Shahrol AW, Diana Safraa Selimin, Lavanyah S, Hamat Hamdi Che Hassan, Amrizal MN, Aljunid SM, Aniza Ismail, Cardiovascular mortality is within the top five causes of death from non-communicable disease based on World Health Organization profile. Around 20% of heart failure patients are readmitted within 30 days worldwide. Readmission within 30 days for congestive heart failure often related to non-compliant to fluid restriction, natural progression of the disease or pre-mature discharge. The study aims to evaluate the 30 days readmission rate of congestive heart failure in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from the year 2016-2017 using casemix data and to determine the associated factors related to it. Based on the data coding, cost of readmission incurred was calculated. The 30-days readmission rate of heart failure to UKMMC in the year 2016-2017 was 53.5% & 43.5%, higher than the developed countries standard but similar to that of local teaching hospitals. After adjustment, age and level of severity are the only significant associated factors for the 30-days readmission rate. Shorter average length of stay (ALOS) & lower extra-tariff were achieved for readmission of heart failure. Total of RM80,329.73 was saved in the year 2017 from prompt treatment and comprehensive care plan of treating 19.3% level 3 severity patients at level 1 ALOS and tariff-cost. The 30-days readmission rate for heart failure in UKMMC was comparable to local teaching hospitals. The reduction of 30-days readmission rate in 2017 saved much cost, shows good clinical governance and advanced treatment strategy. Casemix can be used to guide budget allocation for the cardiology department of UKMMC. Pusat Perubatan Universiti Kebangsaan Malaysia 2020 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf Wong, CM and Abdullah Aliff AW, and Mohd Shahrol AW, and Diana Safraa Selimin, and Lavanyah S, and Hamat Hamdi Che Hassan, and Amrizal MN, and Aljunid SM, and Aniza Ismail, (2020) A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur. Medicine & Health, 15 (1). pp. 141-155. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/15/1
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Cardiovascular mortality is within the top five causes of death from non-communicable disease based on World Health Organization profile. Around 20% of heart failure patients are readmitted within 30 days worldwide. Readmission within 30 days for congestive heart failure often related to non-compliant to fluid restriction, natural progression of the disease or pre-mature discharge. The study aims to evaluate the 30 days readmission rate of congestive heart failure in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from the year 2016-2017 using casemix data and to determine the associated factors related to it. Based on the data coding, cost of readmission incurred was calculated. The 30-days readmission rate of heart failure to UKMMC in the year 2016-2017 was 53.5% & 43.5%, higher than the developed countries standard but similar to that of local teaching hospitals. After adjustment, age and level of severity are the only significant associated factors for the 30-days readmission rate. Shorter average length of stay (ALOS) & lower extra-tariff were achieved for readmission of heart failure. Total of RM80,329.73 was saved in the year 2017 from prompt treatment and comprehensive care plan of treating 19.3% level 3 severity patients at level 1 ALOS and tariff-cost. The 30-days readmission rate for heart failure in UKMMC was comparable to local teaching hospitals. The reduction of 30-days readmission rate in 2017 saved much cost, shows good clinical governance and advanced treatment strategy. Casemix can be used to guide budget allocation for the cardiology department of UKMMC.
format Article
author Wong, CM
Abdullah Aliff AW,
Mohd Shahrol AW,
Diana Safraa Selimin,
Lavanyah S,
Hamat Hamdi Che Hassan,
Amrizal MN,
Aljunid SM,
Aniza Ismail,
spellingShingle Wong, CM
Abdullah Aliff AW,
Mohd Shahrol AW,
Diana Safraa Selimin,
Lavanyah S,
Hamat Hamdi Che Hassan,
Amrizal MN,
Aljunid SM,
Aniza Ismail,
A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
author_facet Wong, CM
Abdullah Aliff AW,
Mohd Shahrol AW,
Diana Safraa Selimin,
Lavanyah S,
Hamat Hamdi Che Hassan,
Amrizal MN,
Aljunid SM,
Aniza Ismail,
author_sort Wong, CM
title A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
title_short A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
title_full A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
title_fullStr A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
title_full_unstemmed A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
title_sort casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in kuala lumpur
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2020
url http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf
http://journalarticle.ukm.my/15116/
http://www.medicineandhealthukm.com/toc/15/1
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