Reducing Heart Failure Admissions Through Heart Success Transitional Care Model

Fenner, Deborah J.; Gulati, Sanjeev; Cloninger, Karen; Emig, Meghan E.

doi:10.1016/j.cardfail.2014.06.042

Cited by 1 publication

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study was rated as a high quality of evidence (Table 2 ). Another study implemented follow-up at a heart failure clinic, within three days post-discharge [ 50 ]. There was a reduction in heart failure readmission rate from 18 % to 13 % [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another study implemented follow-up at a heart failure clinic, within three days post-discharge [ 50 ]. There was a reduction in heart failure readmission rate from 18 % to 13 % [ 50 ]. The heart failure service was then extended to include telemedicine, using basic videoconferencing for patients living in rural and remote areas.…”

Section: Resultsmentioning

confidence: 99%

“…The heart failure service was then extended to include telemedicine, using basic videoconferencing for patients living in rural and remote areas. Heart failure readmissions for this group of patients was reduced from 18 % to 10 % over a six month period [ 50 ]. There was a low quality of evidence for this study mainly due to no adjustment for potential confounding variables (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…At six months, in the NLT group there were 82 % on high dose and 9 % on low dose beta-adrenergic receptor blocker compared to the UC group with 42 % patients reaching maximum dose and 42 % patients on low dose. Fenner, 2014 [ 50 ] Patients admitted to hospital with ADHF. No data was available.…”

Section: Appendixmentioning

confidence: 99%

See 3 more Smart Citations

What is the impact of systems of care for heart failure on patients diagnosed with heart failure: a systematic review

Driscoll

Meagher

Kennedy

et al. 2016

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundHospital admissions for heart failure are predicted to rise substantially over the next decade placing increasing pressure on the health care system. There is an urgent need to redesign systems of care for heart failure to improve evidence-based practice and create seamless transitions through the continuum of care. The aim of the review was to examine systems of care for heart failure that reduce hospital readmissions and/or mortality.MethodElectronic databases searched were: Ovid MEDLINE, EMBASE, CINAHL, grey literature, reviewed bibliographies and Cochrane Central Register of Controlled Trials for randomised controlled trials, non-randomised trials and cohort studies from 1st January 2008 to 4th August 2015. Inclusion criteria for studies were: English language, randomised controlled trials, non-randomised trials and cohort studies of systems of care for patients diagnosed with heart failure and aimed at reducing hospital readmissions and/or mortality.Three reviewer authors independently assessed articles for eligibility based on title and abstract and then full-text. Quality of evidence was assessed using Newcastle-Ottawa Scale for non-randomised trials and GRADE rating tool for randomised controlled trials.ResultsWe included 29 articles reporting on systems of care in the workforce, primary care, in-hospital, transitional care, outpatients and telemonitoring. Several studies found that access to a specialist heart failure team/service reduced hospital readmissions and mortality. In primary care, a collaborative model of care where the primary physician shared the care with a cardiologist, improved patient outcomes compared to a primary physician only. During hospitalisation, quality improvement programs improved the quality of inpatient care resulting in reduced hospital readmissions and mortality. In the transitional care phase, heart failure programs, nurse-led clinics, and early outpatient follow-up reduced hospital readmissions. There was a lack of evidence as to the efficacy of telemonitoring with many studies finding conflicting evidence.ConclusionRedesigning systems of care aimed at improving the translation of evidence into clinical practice and transitional care can potentially improve patient outcomes in a cohort of patients known for high readmission rates and mortality.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%