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

https://doi.org/10.1136/ebn.2.4.124

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    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.Arch Intern Med1999 Feb 8; 159:257–61.OpenUrlCrossRefPubMedWeb of Science

    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 …

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    Footnotes

    • Source of funding: Commonwealth Department of Health and Family Services of Australia.

    • For correspondence: Dr J D Horowitz, Cardiology Unit, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville, South Australia, 5011 Australia. Fax +61 8 8222 6030.