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Evid Based Nurs 2:124 doi:10.1136/ebn.2.4.124
  • Treatment

A home based intervention reduced hospital readmissions and mortality in patients with congestive heart failure

(1999) Arch Intern Med 159, 257; Stewart S, Vandenbroek Aj, Pearson S. , et al. . Prolonged beneficial effects of a home-based intervention on unplanned readmissions mortality among patients with congestive heart failure.. Feb 8; . :. –61..


 
 Question In patients with congestive heart failure (CHF) who have been discharged from hospital, can a home based intervention (HBI) reduce the frequency of hospital readmissions and out of hospital deaths?

Design

Subgroup analysis of a randomised controlled trial (RCT) with 18 months follow up (n=762 patients).

Setting

A tertiary referral hospital in Woodville, South Australia, Australia.

Patients

97 patients (mean age 75 y, 52% women) with CHF and impaired systolic function, functional impairment (New York Heart Association class II-IV), and ≥1 previous hospital admission for CHF. Follow up was 100%.

Intervention

All patients received discharge planning. 49 patients were allocated to HBI care (a visit before discharge by a nurse and a home visit 1 week after discharge by a nurse and pharmacist to educate, assess the need for further intervention, and optimise medication …

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