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 .
Exercise training and pacing status in patients with heart failure: results from HF-ACTION.
BACKGROUND We sought to determine if outcomes with exercise training in heart failure ( HF ) vary according to ventricular pacing type . METHODS AND RESULTS Heart Failure : A Controlled Trial Investigating Outcomes of Exercise Training ( HF-ACTION ) r and omized 2,331 out patients with HF and left ventricular ejection fraction ≤35 % to usual care plus exercise training or usual care alone .  We examined the relationship between outcomes and r and omized treatment according to ventricular pacing status with the use of Cox proportional hazards modeling . In HF-ACTION 1,118 patients ( 48 % ) had an implanted cardiac rhythm device : 683 with right ventricular ( RV ) and 435 with biventricular ( BiV ) pacemakers . Patients with pacing devices were older , more frequently white , and had lower peak VO2 ( P < .001 for all ) . Peak VO2 improved similarly with training in groups with and without pacing devices . The primary composite end point-all-cause death or hospitalization-was reduced only in patients r and omized to exercise training without a device ( hazard ratio [ HR ] 0.79 , 95 % confidence interval [ CI ] 0.67 - 0.93 [ P = .004 ] ; RV lead : HR 1.04 , 95 % CI 0.84 - 1.28 [ P = .74 ] ; BiV pacing : HR 1.05 , 95 % CI 0.82 - 1.34 [ P = .72 ] ; interaction P = .058 ) . CONCLUSIONS Exercise training may improve exercise capacity in patients with implanted cardiac devices . However , the apparent beneficial effects of exercise on hospitalization or death may be attenuated in patients with implanted cardiac devices and requires further study
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 .