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 .
Randomized clinical trial of a postdischarge pharmaceutical care program vs regular follow-up in patients with heart failure.
OBJECTIVE To assess the efficacy of a multifactorial educational intervention carried out by a pharmacist in patients with heart failure ( HF ) . METHOD A r and omized , prospect i ve , open clinical trial in patients admitted for HF . The patients assigned to the intervention group received information about the disease , drug therapy , diet education , and active telephone follow-up . Visits were completed at 2 , 6 , and 12 months . Hospital re-admissions , days of hospital stay , treatment compliance , satisfaction with the care received , and quality of life ( EuroQol ) were evaluated ; a financial study was conducted in order to assess the possible impact of the program . The intervention was performed by the pharmacy department in coordination with the cardiology unit . RESULTS 134 patients were included , with a mean age of 75 years and a low educational level . The patients of the intervention group had a higher level of treatment compliance than the patients in the control group . At 12 months of follow-up , 32.9 % fewer patients in the intervention group were admitted again vs. the control group . The mean days of hospital stay per patient in the control group were 9.6 ( SD=18.5 ) vs. 5.9 ( SD=14.1 ) in the intervention group . No differences were recorded in quality of life , but the intervention group had a higher score in the satisfaction scale at two months [ 9.0 ( SD=1.3 ) versus 8.2 ( SD=1.8 ) p=0.026 ] . Upon adjusting a Cox survival model with the ejection fraction , the patients in the intervention group had a lower risk of re-admission ( Hazard ratio 0.56 ; 95 % CI : 0.32 - 0.97 ) . The financial analysis evidence d savings in hospital costs of euro 578 per patient that were favorable to the intervention group . CONCLUSIONS Postdischarge pharmaceutical care allows for reducing the number of new admissions in patients with heart failure , the total days of hospital stay , and improves treatment compliance without increasing the costs of care
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 .