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  • Review: comprehensive discharge planning plus post-discharge support reduces total readmissions in older patients with congestive heart failure

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Review: comprehensive discharge planning plus post-discharge support reduces total readmissions in older patients with congestive heart failure

https://doi.org/10.1136/ebn.7.4.115

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    Phillips CO, Wright SM, Kern DE, et al. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA 2004;291:1358–67.OpenUrlCrossRefPubMedWeb of Science

    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?

    METHODS

    Embedded ImageData sources:

    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.

    Embedded ImageStudy 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 …

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    Footnotes

    • For correspondence: Dr C O Phillips, Johns Hopkins University School of Medicine, Baltimore, MD, USA. chr_phiyahoo.com

    • Sources of funding: in part, National Heart, Lung, and Blood Institute.