Non-adherence to continuous positive airway pressure (CPAP) therapy increases 30-day hospital readmission in patients with obstructive sleep apnea (OSA).
Results show that non-adherent patients were three times more likely to be readmitted to the hospital within 30 days for any cause (adjusted odds ratio = 3.52). They also were two times more likely to be readmitted for cardiovascular reasons (OR = 2.31).
Program to Reduce Hospital Readmission Increases Risk of Death
A program called Hospital Readmissions Reduction Program (HRRP) was designed to reduce hospital readmission increases the rate of death among heart failure patients.
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‘Continuous positive airway pressure (CPAP), a sleep apnea therapy can help reduce hospital readmissions.’
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The leading cardiovascular causes for readmission in these patients were atrial fibrillation, myocardial ischemia and congestive heart failure, all of which are linked to untreated sleep apnea.
"Until now no one has investigated the role of CPAP non-adherence in 30-day readmissions as an independent risk factor in all types of admissions," said principal investigator Dr. Behrouz Jafari, director of the sleep program at the Veterans Affairs Long Beach Healthcare System in Long Beach, California.
![Getting Heart Patients to Stay on Medication may Not Help Them Avoid Hospital Readmission]( "Getting Heart Patients to Stay on Medication may Not Help Them Avoid Hospital Readmission")
A targeted effort to ensure that high-risk heart failure patients followed their medication program did manage to improve adherence to drug regimens.
"This study carries important implications as it suggests that CPAP therapy may be an important, modifiable target for reducing hospital readmissions," added Jafari, who also is an assistant professor of medicine in the section of pulmonary and critical care medicine at the University of California, Irvine.
The study results are published in the issue of the Journal of Clinical Sleep Medicine.
Nearly 30 million adults in the U.S. have obstructive sleep apnea, a chronic disease that involves the repeated collapse of the upper airway during sleep. Common warning signs include snoring and excessive daytime sleepiness.
One treatment option for sleep apnea is CPAP therapy, which uses mild levels of air pressure, provided through a mask, to keep the throat open while you sleep.
The study involved 345 patients with obstructive sleep apnea who were hospitalized at a VA medical center from Jan. 1, 2007, to Dec. 31, 2015. Ninety-five percent of participants were men, and 72 percent were white.
The 183 adherent patients had an average age of 66 years, and the 162 non-adherent patients had an average age of 62 years. Mean sleep apnea severity was severe in both groups.
Objective CPAP data were analyzed according to the Medicare definition of CPAP adherence, which is CPAP use for 4 or more hours per night on 70 percent of nights during a consecutive minimum period of 30 days.
Results were adjusted for potential confounders such as age, sex, body mass index, living situation, race, comorbidities, and medication adherence.
Jafari noted that 30-day readmissions are touted as the key quality indicator for hospitals and a way to reduce health care costs.
"Improving CPAP adherence may have a cost-saving effect at local, state-based, and national levels," he said.
Source: Eurekalert
Getting Heart Patients to Stay on Medication may Not Help Them Avoid Hospital Readmission
A targeted effort to ensure that high-risk heart failure patients followed their medication program did manage to improve adherence to drug regimens.
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"This study carries important implications as it suggests that CPAP therapy may be an important, modifiable target for reducing hospital readmissions," added Jafari, who also is an assistant professor of medicine in the section of pulmonary and critical care medicine at the University of California, Irvine.
The study results are published in the issue of the Journal of Clinical Sleep Medicine.
Nearly 30 million adults in the U.S. have obstructive sleep apnea, a chronic disease that involves the repeated collapse of the upper airway during sleep. Common warning signs include snoring and excessive daytime sleepiness.
One treatment option for sleep apnea is CPAP therapy, which uses mild levels of air pressure, provided through a mask, to keep the throat open while you sleep.
The study involved 345 patients with obstructive sleep apnea who were hospitalized at a VA medical center from Jan. 1, 2007, to Dec. 31, 2015. Ninety-five percent of participants were men, and 72 percent were white.
The 183 adherent patients had an average age of 66 years, and the 162 non-adherent patients had an average age of 62 years. Mean sleep apnea severity was severe in both groups.
Objective CPAP data were analyzed according to the Medicare definition of CPAP adherence, which is CPAP use for 4 or more hours per night on 70 percent of nights during a consecutive minimum period of 30 days.
Results were adjusted for potential confounders such as age, sex, body mass index, living situation, race, comorbidities, and medication adherence.
Jafari noted that 30-day readmissions are touted as the key quality indicator for hospitals and a way to reduce health care costs.
"Improving CPAP adherence may have a cost-saving effect at local, state-based, and national levels," he said.
Source: Eurekalert
Study Examines Hospital Readmission Rates After Inpatient Rehabilitation
Twelve percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitation centre.
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 For Reducing Avoidable Hospital Readmissions Program may Hold PromiseFinancial penalties imposed on hospitals that experience excessive patient readmissions within 30 days by recent federal legislation. | Advertisement
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