Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
A randomized controlled pilot study of outcomes of strict allowance of fluid therapy in hyponatremic heart failure (SALT-HF).
BACKGROUND Currently , fluid restriction recommendations in heart failure ( HF ) are based on expert opinion . After implementing a 1,000-mL/d fluid restriction for 60 days after discharge , outcomes were examined . METHODS AND RESULTS In a r and omized controlled design , hyponatremic patients ( serum sodium ≤137 mg/dL ) received usual care ( UC ; n = 26 ) or 1,000 mL/d fluid restriction ( n = 20 ) at discharge . Quality of life ( QoL ) , thirst , difficulty following fluid recommendations , adherence to fluid restriction , HF emergency care , HF rehospitalization , and all-cause death were examined . Mean age was 62.8 ± 12.8 years ; 46 % were white . There were no differences by group in baseline demographics , comorbidities , and QoL , except that more UC patients had New York Heart Association ( NYHA ) functional class III/IV status ( P = .019 ) . Median [ interquartile range ] QoL scores were better in the 1,000 mL/d group for symptom burden ( 83.3 [ 68.8 - 91.7 ] vs 50 [ 29.2 - 79.2 ] ; P = .018 ) , total symptoms ( 77.1 [ 58.1 - 91.7 ] vs 54.2 [ 30.2 - 73.9 ] ; P = .022 ) , overall QoL summary ( 72.6 [ 52.2 - 86.3 ] vs 51.0 [ 37.7 - 68.5 ] ; P = .038 ) , and clinical QoL summary ( 75.5 [ 57.8 - 92.9 ] vs 59.1 [ 35.7 - 77.3 ] ; P = .039 ) . There were no group differences in thirst , difficulty adhering to fluid recommendations , adherence to fluid restriction , or health care consumption . CONCLUSIONS The 1,000 mL/d fluid restriction led to improved QoL at 60 days after discharge . Future research in a larger more heterogeneous sample is needed
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .