Study finds more spending does not improve cardiac arrest patients’ outcomes

More Medicare dollars allocated to management of cardiac arrest patient does not result in better health outcomes, according to a different study.

A JAMA study printed Wednesday discovered that mortality rates remained constant for cardiac arrest patients as much as 180 days after discharge even while paying for cardiac procedures and publish-acute care rose. However the study did find mortality dropped among patients who received early percutaneous coronary intervention, also referred to as angioplasty having a stent.

“The idea to make use of more sources (to enhance health outcomes for cardiac arrest patients) may not be the situation, but it may be more essential in which you do with the money,” stated Jesse Likosky, lead author from the study and cardiovascular epidemiologist in the College of Michigan.

Likosky and the co-authors checked out 479,893 Medicare beneficiaries hospitalized for cardiac arrest from 1999 to 2014.

They found 180-day mortality rates for patients declined from 26.9% in 1999 to 21.5% in 2014. The majority of the decline happened within the initial thirty days after hospitalization and mortality rates were mostly unchanged from 31 to 180 days after cardiac arrest.

Simultaneously, spending per patient as much as 180 days after cardiac arrest rose by nearly 14% from 1999 to 2014. The majority of the spending increase happened after thirty days in outpatient services, skilled-assisted living facilities or home health. Yet, the research did not find these extra services had an effect on mortality rates.

The research also noted there’s wide variation in Medicare spending among hospitals for cardiac arrest patients. The spend rate of growth for around 61 hospitals, or 5% of total hospitals, rose by 44.1% while another 5% of hospitals decreased spending by 18.7%.

However the hospitals with rapid increases in spending didn’t experience greater mortality rate drops, the research stated.

Likosky stated he hopes the findings will be provided to providers and hospitals to allow them to re-think the way they treat patients.

Maria Castellucci is really a general assignment reporter covering place news for contemporary Healthcare’s website and print edition. She covers finances, acquisitions along with other healthcare topics in markets across the nation. Castellucci graduated from Columbia College Chicago and began working at Modern Healthcare in September 2015.

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