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 .
Short- and long-term results of a programme for the prevention of readmissions and mortality in patients with heart failure: are effects maintained after stopping the programme?
UNLABELLED The objective of the study was to evaluate whether improvements obtained during an intervention programme were maintained after the programme was stopped . 153 patients discharged with a diagnosis of heart failure ( HF ) were r and omized to either usual care or an intervention programme , which included patient education , consultation with the cardiologist and monitoring in the Heart Failure Unit . After an average period of 16+/-8 months , the intervention programme was stopped . One year later , all the patients were re-examined to assess HF readmissions , all-cause mortality , quality of life , and prescribed medical treatment . During the 16+/-8-month treatment period , patients in the intervention group had a lower rate of HF readmissions ( 17 % vs. 51 % , p<0.01 ) , less all-cause mortality ( 13 % vs. 27 % , p=0.03 ) , improvement in quality of life ( 1.5+/-0.8 vs. 1.9+/-1 , p=0.03 ) and optimisation of medical treatment was achieved . One year after stopping the intervention , there was no difference in HF readmissions ( 28 % vs. 25 % , p=0.72 ) , all-cause mortality ( 14 % vs. 17 % , p=0.64 ) and quality of life ( 1.7+/-0.9 vs. 1.8+/-1 , p=0.24 ) between the groups . Survival and the probability of not being readmitted due to HF were similar in both groups . There was also a reduction in the use of beta-blockers and spironolactone in the intervention group . CONCLUSIONS The positive effects of an intervention programme are clearly reduced when it is stopped , due to less strict control of the patients and a decrease in the use of drugs with proven efficacy in HF
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 .