SALT LAKE CITY Researchers at the Intermountain Heart Institute at Intermountain Medical Center have developed an innovative tool designed to eliminate 30-day hospital readmissions for heart failure patients and improve the quality of medical care a patient receives in the hospital.
The tool, known as the IMRS-HF, was adapted from the Intermountain Risk Score (IMRS) that has been used at Intermountain Medical Center to predict mortality rates in trauma patients.
Heart researchers discovered that by using the IMRS-HF, they could more accurately evaluate a patient's condition prior to discharge, and ensure there is less risk of the patient being readmitted for the same condition within 30 days.
"The IMRS-HF is another step forward in using evidence-based care to improve the quality of medical care provided to heart failure patients during a hospital stay," said Benjamin Horne, PhD, director of cardiovascular and genetic epidemiology at the Intermountain Heart Institute at Intermountain Medical Center, and lead researcher. "When implemented, this gives physicians an effective, real-time tool to help assure patients are in a healthy position for discharge."
Researchers designed the tool following an extensive examination of more than 6,000 electronic medical records involving discharged heart failure patients from Intermountain Healthcare hospitals between 1999 and 2011.
The IMRS-HF tool was then validated using 459 patients hospitalized between April 2011 and October 2012. Using this new tool, researchers discovered that male patients with a score higher than 15 (on a 1-19 scale) were 8.5 times more likely to be readmitted within 30 days compared to a male patient with a score between one and eight. Women with a score of 5-9 (on a 0-9 scale) were twice as likely to be readmitted than a female patient with a score between 0-3.
Results of the project were presented at the American College of Cardiology's Ann
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Intermountain Medical Center