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 .
[Evaluation of a home-based intervention in heart failure patients. Results of a randomized study].
INTRODUCTION AND OBJECTIVES Home-based interventions after hospital discharge in patients with heart failure ( HF ) have been shown to decrease readmission and mortality rates . The primary aim of this study was to determine the effect of a home-based educational intervention carried out by nursing staff on the readmission rate , emergency department visits , and healthcare costs . PATIENTS AND METHOD Patients hospitalized with systolic HF were r and omly assigned to receive either usual care or a single home-based educational intervention 1 week after discharge . RESULTS Between July 2001 and November 2002 , 70 patients entered the study : 34 in the intervention group and 36 in the control group . During the 6-month follow-up , there were fewer unplanned readmissions in the intervention group than in the control group ( 0.09 vs 0.94 ; P<.001 ) , fewer emergency department visits ( 0.21 vs 1.33 ; P<.001 ) , and fewer out-of-hospital deaths ( 2 vs 11 ; P<.01 ) . Costs were also significantly lower in the intervention group ( difference , ; 1190.9 ; P<.001 ) . Moreover , patient-perceived health status , as indicated by scores on a quality -of-life question naire , increased significantly in the intervention group . CONCLUSIONS In a cohort of patients with systolic HF who received a home-based educational intervention there were significant reductions in the unplanned readmission rate , mortality , and healthcare costs , and better quality of life . Some limitations of the study warrant validation of the result ats in further studies
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 .