Review: comprehensive discharge planning plus post-discharge support reduces total readmissions in older patients with congestive heart failure
Q In older patients with congestive heart failure (CHF), what is the effectiveness of comprehensive discharge planning plus post-discharge support on readmissions, all cause mortality, initial length of stay (LOS), quality of life (QOL), and overall medical costs?
Medline (1966 to October 2003), Cochrane Controlled Trials Register, Bioethics (1985 to October 2003), PsycLit (1974 to October 2003), CINAHL (1982 to October 2003), Social Science Citation Index (1992 to October 2003), and Current Contents; and bibliographies of relevant articles.
Study selection and assessment:
published, English language, randomised controlled trials (RCTs) that described interventions to modify hospital discharge for older patients with CHF (mean age ⩾55 y), delineated clearly defined components for inpatient care and post-discharge support, compared the effects with usual care, and reported readmission rates. Individual studies were assessed for quality based on randomisation method, …