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dc.contributor.authorFeltner, C.
dc.contributor.authorJones, C.D.
dc.contributor.authorCené, C.W.
dc.contributor.authorZheng, Z.-J.
dc.contributor.authorSueta, C.A.
dc.contributor.authorCoker-Schwimmer, E. J. L.
dc.contributor.authorJonas, D.E.
dc.date.accessioned2018-02-19T14:43:33Z
dc.date.available2018-02-19T14:43:33Z
dc.date.issued2014
dc.identifier.citationFeltner, C., Jones, C. D., Cené, C. W., Zheng, Z.-J., Sueta, C. A., Coker-Schwimmer, E. J. L., . . . Jonas, D. E. (2014). Transitional Care Interventions to Prevent Readmissions for Persons With Heart Failure: A Systematic Review and Metaanalysis. Annals Of Internal Medicine, 160(11), 774-784.nb_NO
dc.identifier.urihttp://hdl.handle.net/11250/2485759
dc.description.abstractBackground: Nearly 25% of patients hospitalized with heart failure (HF) are readmitted within 30 days. Purpose: To assess the efficacy, comparative effectiveness, and harms of transitional care interventions to reduce readmission and mortality rates for adults hospitalized with HF. Data Sources: MEDLINE, Cochrane Library, CINAHL, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform (1 January 1990 to late October 2013). Study Selection: Two reviewers independently selected randomized, controlled trials published in English reporting a readmission or mortality rate within 6 months of an index hospitalization. Data Extraction: One reviewer extracted data, and another checked accuracy. Two reviewers assessed risk of bias and graded strength of evidence (SOE). Data Synthesis: Forty-seven trials were included. Most enrolled adults with moderate to severe HF and a mean age of 70 years. Few trials reported 30-day readmission rates. At 30 days, a highintensity home-visiting program reduced all-cause readmission and the composite end point (all-cause readmission or death; low SOE). Over 3 to 6 months, home-visiting programs and multidisciplinary heart failure (MDS-HF) clinic interventions reduced all-cause readmission (high SOE). Home-visiting programs reduced HF-specific readmission and the composite end point (moderate SOE). Structured telephone support (STS) interventions reduced HF-specific readmission (high SOE) but not all-cause readmissions (moderate SOE). Home-visiting programs, MDS-HF clinics, and STS interventions produced a mortality benefit. Neither telemonitoring nor primarily educational interventions reduced readmission or mortality rates. Limitations: Few trials reported 30-day readmission rates. Usual care was heterogeneous and sometimes not adequately described. Conclusion: Home-visiting programs and MDS-HF clinics reduced all-cause readmission and mortality; STS reduced HF-specific readmission and mortality. These interventions should receive the greatest consideration by systems or providers seeking to implement transitional care interventions for persons with HF.nb_NO
dc.publisherAnnals Of Internal Medicinenb_NO
dc.subjecttransitional care interventionsnb_NO
dc.subjectheart failurenb_NO
dc.subjectreadmissionsnb_NO
dc.subjecthome-visiting programsnb_NO
dc.subjectMDS-HF clinicsnb_NO
dc.subjectSTSnb_NO
dc.titleTransitional Care Interventions to Prevent Readmissions for Persons With Heart Failure: A Systematic Review and Metaanalysisnb_NO
dc.typeJournal articlenb_NO
dc.source.pagenumber774-784nb_NO
dc.source.volume160nb_NO
dc.source.journalAnnals Of Internal Medicinenb_NO
dc.source.issue11nb_NO
dc.identifier.doi10.7326/M14-0083


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