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...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2020
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| Online Access: | http://journalarticle.ukm.my/15116/ http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf |
| _version_ | 1848813718887989248 |
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| author | Wong, CM Abdullah Aliff AW, Mohd Shahrol AW, Diana Safraa Selimin, Lavanyah S, Hamat Hamdi Che Hassan, Amrizal MN, Aljunid SM, Aniza Ismail, |
| 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 |
| building | UKM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-15T00:22:39Z |
| format | Article |
| id | oai:generic.eprints.org:15116 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:22:39Z |
| publishDate | 2020 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org: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 |
| 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 |
| title | 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_short | 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 |
| url | http://journalarticle.ukm.my/15116/ http://journalarticle.ukm.my/15116/ http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf |