Chung ES, Guo L, Casey DE, Bartone C, Menon S, Saghir Syed, Mital A, Kereiakes DJ. Relationship of National Heart Failure Quality Measure Composites to Clinical Outcomes. American Journal of Medical Quality. 2008;23(3):168-175.
Background: To determine whether compliance with heart failureperformance measures (HFPMs) is associated with short-term outcomebenefit. Methods: In a cohort study, 194 patients satisfyingall the HFPMs for which they were eligible were compared with206 controls. Over 6 months, time to death and first all-causereadmission data were collected. Data were adjusted for differencesin comorbidities, medications, and demographics in a multivariatemodel. Results: There was no difference in 6-month mortalitybetween the 2 groups. Adjusted time to death or all-cause hospitalization(hazard ratio [HR], 0.75; 95% confidence interval [CI], 0.58-0.97;P = .03) and all-cause hospitalization (HR, 0.74; 95% CI, 0.57-0.97;P = .03) were shorter for the study group compared with control,whereas there was no difference in time to death (HR, 0.86;95% CI, 0.66-1.11; P = .24). Conclusions: Adherence to a compositeof HFPM appears to be related to a reduction in all-cause readmissionsfor patients with HF but not short-term mortality. (Am J MedQual 2008;23:168-175)
Full text of the article can be found in the American Journal of Medical Quality, Vol. 23, No. 3, May/June 2008