Table 1.
Comparison of 30-day readmissions, length of stay, hospital mortality, and costs of care between congestive heart failure, acute myocardial infarction, and sepsis from 2009–2011 in California.
| CHF | 2009–2011 AMI |
Sepsis | |
|---|---|---|---|
|
| |||
| All hospitalizations | 208,794 | 135,980 | 310,565 |
|
| |||
| Index hospitalizations | 193,153 | 105,684 | 240,198 |
|
| |||
| 30 day readmissions | 45,651 | 18,707 | 48,988 |
|
| |||
| 30 day readmission rate | 23.6% | 17.7% | 20.4% |
|
| |||
| Length of stay (Days) | |||
| All hospitalizations* | |||
| Mean (SD) | 4.8 (5.8) | 4.5 (5.9) | 8.7 (11.5) |
|
|
|||
| Median (IQR) | 3 (2–6) | 3 (2–5) | 6 (3–10) |
|
|
|||
| Index hospitalizations† | |||
| Mean (SD) | 4.6 (5.2) | 4.8 (5.4) | 8.5 (10.3) |
|
|
|||
| Median (IQR) | 3 (2–6) | 3 (2–6) | 6 (3–10) |
|
|
|||
| 30 day readmissions‡ | |||
| Mean (SD) | 5.2 (6.1) | 4.4 (6.3) | 10.6 (13.0) |
|
|
|||
| Median (IQR) | 4 (2–6) | 3 (1–5) | 7 (4–13) |
|
| |||
| Hospital Mortality | |||
| All hospitalizations* | 3.1% | 5.6% | 15.9% |
|
|
|||
| Index hospitalizations† | N/A | N/A | N/A |
|
|
|||
| 30 day readmissions‡ | 1.7% | 1.4% | 6.5% |
|
| |||
| Costs per Hospitalization (US $) | |||
| All hospitalizations* | |||
| Mean (SD) | 14,553 (21,693) | 23,683 (26,406) | 26,614 (35,395) |
|
|
|||
| Median (IQR) | 8,870 (5,455–15,655) | 16,550 (9,095–27,734) | 15,462 (8,443–30,180) |
|
|
|||
| Index hospitalizations† | |||
| Mean (SD) | 13,843 (19,356) | 24,492 (24,855) | 24,318 (31,306) |
|
|
|||
| Median (IQR) | 8,738 (5,424–15,202) | 17,810 (10,591–28,706) | 14,829 (8,334–27,741) |
|
|
|||
| 30 day readmissions‡ | |||
| Mean (SD) | 15,081 (23,769) | 22,874 (29,422) | 30,646 (37,932) |
|
|
|||
| Median (IQR) | 8,973 (5,465–15,965) | 14,075 (7,036–26,200) | 18,794 (10,260–35,386) |
All hospitalizations: Hospitalizations after excluding age < 18, missing length of stay and patient identifier variable, admissions to rehabilitation or psychiatric facilities
Index hospitalizations: Hospitalizations after above exclusions that did not result in transfer to another acute care hospital or patient death. All hospitalizations occurring in December of each calendar year were also excluded to allow all index admissions to have a 30 day window for rehospitalization.
30-day readmission: Hospitalizations with at least 1 subsequent hospital stay within 30 days of an index hospitalization.
Abbreviations: CHF, congestive heart failure; AMI, acute myocardial infarction; SD, standard deviation; IQR, interquartile range; US, United States; $, dollars