Table 3

Resource use within 180 days after discharge

ResourceIntervention group (n=300)Historical control group (n=580)P value*
High risk
(n=96)
Intermediate risk
(n=174)
Low risk
(n=30)
Total intervention group
Cardiac readmissions, n (%)†
 Unplanned cardiac readmissions29 (30)36 (21)≤368 (23)219 (38)<0.001
 Planned cardiac readmissions5 (5)5 (2)≤311 (4)31 (5)0.268
 Readmission with pericardiocentesis‡5 (5)≤3≤39 (3)40 (7)0.020
 Thoracentesis≤3≤3≤35 (2)18 (3)0.205
Emergency room visits, n (%)†9 (9)16 (9)≤328 (9)75 (13)0.116
Outpatient consultations/procedures, n (%)†
 Echocardiography88 (92)168 (97)30 (100)286 (95)528 (91)0.022
 Pericardiocentesis10 (10)§6 (3)≤317 (6)0 (0)<0.001
 Thoracentesis9 (9)8 (5)≤317 (6)31 (5)0.842
 Heart failure consultations8 (8)14 (8)≤324 (8)54 (9)0.517
 Arrhythmia consultations18 (19)28 (16)5 (17)51 (17)70 (12)0.044
 Other (unspecified) cardiology consultations17 (18)36 (21)≤360 (20)209 (36)<0.001
 Cardiac surgery consultations7 (7)7 (4)≤317 (6)34 (6)0.906
General practitioner, n (%)†
 Direct consultations, normal opening hours92 (96)170 (98)30 (100)292 (97)559 (96)0.452
 Telephone consultations, normal opening hours78 (81)133 (76)25 (83)236 (79)503 (87)0.002
 Out-of-hours consultations, all29 (30)43 (25)9 (30)81 (27)220 (38)0.001
  • *P<0.05, differences between the intervention group and the historical control group, compared using χ2.

  • †N and %=number and proportion of patients with one or more readmission/consultation/procedure.

  • ‡Both parasternal and subxiphoid approach.

  • §Denotes statistically significant difference from intermediate-risk group ascertained by χ2.