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Jonathan D. Davis, MD, MPHS, Margaret A

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1 All-Payer Analysis of Heart Failure Hospitalization 30-Day Readmission: Comorbidities Matter 
Jonathan D. Davis, MD, MPHS, Margaret A. Olsen, PhD, MPH, Kerry Bommarito, PhD, MPH, Shane J. LaRue, MD, MPHS, Mohammed Saeed, MBCHB, MPH, Michael W. Rich, MD, Justin M. Vader, MD, MPHS  The American Journal of Medicine  Volume 130, Issue 1, Pages 93.e9-93.e28 (January 2017) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Figure 1 Daily rate of readmission for all-cause (green line), non-heart failure (red line), and heart failure (blue line). The denominator was adjusted daily to account for patients remaining eligible for a first readmission. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

3 Figure 2 Daily readmissions presented as a proportion of heart failure (blue) and non-heart failure (red). The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 Figure 3 (A) The most common primary diagnoses on 30-day readmission after hospitalization for heart failure. (B) Detailed view of the non-heart failure cardiovascular causes of readmission. GU = genitourinary; MI = myocardial infarction; SVT = supraventricular tachycardia. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

5 Supplementary Figure 1 Schema of the cohort generation. ICD-9-CM = International Classification of Disease, Ninth Revision, Clinical Modification. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

6 Supplementary Figure 2 (A) Number of index hospitalizations by year for those with (orange) and without (purple) 30-day all-cause readmission. (B) Yearly readmissions presented as a proportion of those with (orange) and without (purple) 30-day all-cause readmission. Only California and New York State Inpatient Databases collect admission year as a distinct variable, hence Florida data are not included here. *As data were available for only the first 3 quarters of 2011, fourth quarter hospitalizations were extrapolated based on the average number of admissions in each of the first 3 quarters of 2011. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

7 Supplementary Figure 3 Distribution of daily admissions for heart failure (blue) and non-heart failure (red) for ages years (A) and ages ≥ 65 years (B), and daily readmissions presented as a proportion of heart failure (blue) and non-heart failure (red) for ages years (C) and ages ≥ 65 years (D). The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

8 Supplementary Figure 3 Distribution of daily admissions for heart failure (blue) and non-heart failure (red) for ages years (A) and ages ≥ 65 years (B), and daily readmissions presented as a proportion of heart failure (blue) and non-heart failure (red) for ages years (C) and ages ≥ 65 years (D). The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

9 Supplementary Figure 4 The most common primary diagnoses on readmission after hospitalization for heart failure for ages and ages ≥ 65 years. GU = genitourinary. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

10 Supplementary Figure 5 The most common primary diagnoses on 7-day and 8 to 30-day readmission after hospitalization for heart failure. GU = genitourinary. The American Journal of Medicine  , 93.e9-93.e28DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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