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Monday, January 8, 2018

Mortality Lower When Inpatients See Their Own PCP in Hospital

Unadjusted 30-day mortality was lowest among patients cared for by PCPs, followed by the rates in those cared for by hospitalists and other generalists (8.6%, 10.8%, and 11.0%, respectively; test of difference, P < .001).

"These findings persisted in adjusted analyses for PCPs (AOR, 0.94; 95% CI, 0.91 - 0.97; P < .001) and other generalists (AOR, 1.09; 95% CI, 1.07 - 1.12; P < .001), with hospitalists as the reference group," the authors write.

This pattern also remained significant in a sensitivity analysis that accounted for the complexity of the admission and patient disease burden. "For example, patients cared for by PCPs had the lowest 30-day mortality across all 3 physician groups at all quantiles of DRG complexity and patient comorbidities," the authors write.

https://www.medscape.com/viewarticle/888520

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