A home based intervention reduced hospital readmissions and mortality in patients with congestive heart failure
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?
Subgroup analysis of a randomised controlled trial (RCT) with 18 months follow up (n=762 patients).
A tertiary referral hospital in Woodville, South Australia, Australia.
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%.
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 …