Abstract 259: The Effects of Depression on BRIDGE Patients
Background: Depression creates additional barriers to receiving transitional care. Bridging the Discharge Gap Effectively (BRIDGE) is a nurse practitioner-delivered cardiac transitional care program. We sought to determine if, 1) there was a difference in readmission rates of BRIDGE patients with depression (PWD) and those without depression (PWOD), and 2) if BRIDGE attendance lowered 30-day readmission rates in PWD.
Methods: Retrospective data was abstracted for all patients referred to BRIDGE (June ’08 - Dec ’14). Readmission rates of PWD and PWOD were compared in both BRIDGE attenders and non-attenders.
Results: Of 2446 patients, 577 (23.6%) had a history of depression. PWD were significantly younger (62.82 ± 14.04 v 66.17 ± 14.88, p<0.001), more likely to be female (55.6% v 39.1%, p<0.001), and less likely to attend their BRIDGE appointment (67.1% v 72.1%, p=0.010) than PWOD. Among BRIDGE attendees, PWD had significantly higher 60, 90, and 180 day readmission rates than PWOD (Table 1). Although 30 day readmissions were lower in PWD who attended BRIDGE, compared to PWD who did not attend BRIDGE, these results were not significant (10.5% v 12.6%, p=0.505), and this trend was not seen in 60, 90, and 180 day readmission rates.
Conclusions: PWD are less likely to attend BRIDGE appointments and more likely to be readmitted. These results suggest that special attention needs to be given to PWD upon hospital discharge to ensure that proper transitional care is received and readmissions are avoided.
Author Disclosures: J. Carolan: None. R. Sylvester: None. N. Costin: None. C. McMahon: None. M. Bradford: None. D. Montgomery: None. E. Kline-Rogers: None. K.A. Eagle: None. S. Bumpus: None.
- © 2016 by American Heart Association, Inc.