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02377 am a22002173u 4500 |
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15116 |
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|a dc
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|a Wong, CM
|e author
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|a Abdullah Aliff AW,
|e author
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|a Mohd Shahrol AW,
|e author
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|a Diana Safraa Selimin,
|e author
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|a Lavanyah S,
|e author
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|a Hamat Hamdi Che Hassan,
|e author
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|a Amrizal MN,
|e author
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|a Aljunid SM,
|e author
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|a Aniza Ismail,
|e author
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|a A casemix: congestive heart failure readmission rate and its associated factors in a tertiary teaching hospital in Kuala Lumpur
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|b Pusat Perubatan Universiti Kebangsaan Malaysia,
|c 2020.
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|z Get fulltext
|u http://journalarticle.ukm.my/15116/1/13_ms0370_pdf_13736.pdf
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|a 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.
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