TY - JOUR T1 - Impact of a community-based cardiovascular disease service intervention in a highly deprived area JF - Heart JO - Heart SP - 374 LP - 379 DO - 10.1136/heartjnl-2019-315047 VL - 106 IS - 5 AU - Jennifer Downing AU - Tanith C Rose AU - Pooja Saini AU - Bashir Matata AU - Zoe McIntosh AU - Terence Comerford AU - Keith Wilson AU - Allan Pemberton AU - Lesley M Harper AU - Matthew Shaw AU - Konstantinos Daras AU - Ben Barr Y1 - 2020/03/01 UR - http://heart.bmj.com/content/106/5/374.abstract N2 - Objective To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England.Methods A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD).Results Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed.Conclusion This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions. ER -