Impact of a community-based cardiovascular disease service intervention in a highly deprived area



Downing, Jennifer ORCID: 0000-0001-7691-1167, Rose, Tanith C, Saini, Pooja ORCID: 0000-0002-4981-7914, Matata, Bashir ORCID: 0000-0003-2896-8059, McIntosh, Zoe, Comerford, Terence, Wilson, Keith, Pemberton, Allan, Harper, Lesley M ORCID: 0000-0003-1065-5732, Shaw, Matthew ORCID: 0000-0001-9184-5591
et al (show 2 more authors) (2020) Impact of a community-based cardiovascular disease service intervention in a highly deprived area. Heart, 106 (5). pp. 374-379.

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Abstract

Objective To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England. Methods A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD). Results Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed. Conclusion This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions

Item Type: Article
Uncontrolled Keywords: cardiac rehabilitation, chronic coronary disease, healthcare delivery, heart failure, quality and outcomes of care, Cardiovascular Diseases, Community Health Services, Emergency Service, Hospital, England, Female, Hospitalization, Humans, Longitudinal Studies, Male, Medically Underserved Area, Middle Aged
Depositing User: Symplectic Admin
Date Deposited: 27 Aug 2019 10:04
Last Modified: 19 Jan 2023 00:28
DOI: 10.1136/heartjnl-2019-315047
Open Access URL: https://heart.bmj.com/content/early/2019/08/22/hea...
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3052630