Retrospective Evaluation of Pharmacy Student and or Resident Counseling and 30-Day Readmission in Heart Failure at a Northeastern Hospital
Background: The retrospective study evaluated the association of pharmacy resident and or student discharge counseling service with 30- day all cause readmissions in heart failure. Methods: Data were collected from electronic medical records of patients’ (with a discharge diagnosis of heart failure) on age, gender, race, number of comorbidities, hospital length of stay in days, received intervention of “pharmacy resident and or student” counseling (yes/no) and number of readmissions. Multivariate logistic regression analyses studied the association of counseling intervention and “at least one 30- day readmission” after adjusting for patient characteristics. A P value of less than .05 was considered significant. Results: The intervention (130/362) versus the control group (232/362) was more likely to be male, Caucasian race, speak English, and have a longer length of stay. After adjusting for age, gender, race, primary language (English, yes vs. no), and length of stay; the counseled versus the not counseled patients were less likely to be readmitted (adjusted OR = 0.54, 95% CL = 0.32-0.91, p = 0.0207). Conclusions: Heart Failure patients who received discharge counseling were significantly less likely to be readmitted than those who did not. Providers and payers implementing discharge counseling service need to reach female, non-english speaking, other race patients, and those with short length of stay.
Shurui Dai, Jayashri Sankaranarayanan*, Spencer T. Martin, Nicholas Tessier
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