Other characteristics , including specialist versus generalist provision , did not appreciably impact programme effectiveness .
Conclusions Shorter secondary prevention programmes , those based in general practice , and those staffed by generalists are at least as effective in reducing all cause mortality in patients with coronary heart disease as longer programmes , hospital-based programmes , and programmes staffed by specialists
Background The aim of this study was to determine which programme characteristics influence the effectiveness of secondary prevention programmes for Coronary Heart Disease .
The effects of a discharge planning and home follow-up intervention on elders hospitalized with common medical and surgical cardiac conditions.
This study was a secondary analysis of data collected on 202 patients hospitalized with common medical or surgical cardiac conditions who completed a 24-week postdischarge follow-up program as part of a large-scale r and omized clinical trial . Subjects were age 65 years or older , admitted from their homes with one of the following diagnosis-related groups : heart failure , angina , myocardial infa rct ion , coronary artery bypass graft surgery , or cardiac valve replacement . The intervention consisted of comprehensive discharge planning and home follow-up by an advanced practice nurse ( APN ) for 4 weeks after discharge . Control subjects received usual care . Findings indicated that medical patients in the intervention group had fewer multiple readmissions during the 24 weeks of follow-up and a reduced total number of days of rehospitalization . There were fewer hospital readmissions in the surgical group when measured from discharge to 6 weeks . There were no differences in functional status between intervention and control groups for either population . The findings of this study suggest that high-risk elders with significant cardiac problems may benefit from a care program that emphasizes collaborative , coordinated discharge planning and home follow-up that includes telephone and home visits by APNs
Other characteristics , including specialist versus generalist provision , did not appreciably impact programme effectiveness .
Conclusions Shorter secondary prevention programmes , those based in general practice , and those staffed by generalists are at least as effective in reducing all cause mortality in patients with coronary heart disease as longer programmes , hospital-based programmes , and programmes staffed by specialists
Background The aim of this study was to determine which programme characteristics influence the effectiveness of secondary prevention programmes for Coronary Heart Disease .