Comparative Effectiveness of Transitional Care Services in Patients Discharged from the Hospital with Heart Failure: A Systematic Review and Network Meta-Analysis
Why the study?
Do transitional care services (nurse home visits, DMCs, NCM) reduce mortality, readmissions, and costs in patients discharged from the hospital with heart failure?
Population
Patients discharged from the hospital with heart failure
Design
Meta-analysis
Authors
Discussion
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Implication
Supports nurse home visits or DMCs after HF discharge to cut mortality and readmissions; confirms comparable effectiveness versus NCM.
Key Points
- To assess the comparative effectiveness and economic impact of various transitional care services in patients discharged from the hospital with heart failure.
- Conducted a systematic review and network meta-analysis of transitional care interventions following heart failure hospitalization.
- Evaluated interventions including nurse home visits, disease management clinics (DMCs), and nurse case management (NCM).
- Assessed post-discharge outcomes of all-cause mortality, all-cause readmissions, and healthcare system costs.
- Nurse home visits and disease management clinics significantly decrease post-discharge all-cause mortality.
- Nurse home visits, disease management clinics, and nurse case management reduce all-cause readmissions, with no significant difference in comparative effectiveness among them.
- Transitional care services reduce healthcare system costs to varying degrees across interventions.
Structured PICO
Do transitional care services (nurse home visits, DMCs, NCM) reduce mortality, readmissions, and costs in patients discharged from the hospital with heart failure?
P
Population
Patients discharged from the hospital with heart failure
I
Intervention
Transitional care services, specifically nurse home visits, disease management clinics (DMCs), and nurse case management (NCM)
O
Outcome
All-cause mortality, all-cause readmissions, and healthcare system costshard clinical
Transitional care services, including nurse home visits and disease management clinics, effectively reduce mortality, readmissions, and healthcare costs for heart failure patients post-discharge.
Cite This Study
Spall et al. (2017) studied this question.