What question did this study set out to answer?

February 8, 1999Archives of Internal MedicineOpen Access

Prolonged Beneficial Effects of a Home-Based Intervention on Unplanned Readmissions and Mortality Among Patients With Congestive Heart Failure

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Why the study?

Does a single home-based intervention reduce unplanned readmissions and out-of-hospital deaths in high-risk patients with congestive heart failure?

Key Points

To evaluate the long-term effects of a home-based intervention on unplanned readmissions and mortality among congestive heart failure patients.
Randomly assigned patients (n=97) received either usual care (n=48) or home-based intervention (HBI) (n=49) post-discharge.
Extended follow-up duration of 18 months to assess readmission rates and mortality.
Primary end point was frequency of unplanned readmissions plus out-of-hospital deaths.
HBI patients had fewer unplanned readmissions (64 vs 125; P=.02) and out-of-hospital deaths (2 vs 9; P=.02).
Days of hospitalization were reduced (2.5 vs 4.5; P=.004) for HBI patients compared to usual care.
Hospital-based costs were lower in HBI group (Aust $5100 vs Aust $10600; P=.02).

Structured PICO

Does a single home-based intervention reduce unplanned readmissions and out-of-hospital deaths in high-risk patients with congestive heart failure?

Population

97 hospitalized 'high-risk' patients with congestive heart failure

Intervention

Single home-based intervention (HBI) applied 1 week after hospital discharge

Comparator

Usual care

Outcome

Frequency of unplanned readmissions plus out-of-hospital deathscomposite

A single post-discharge home-based intervention provides sustained reductions in unplanned readmissions, mortality, and healthcare costs over 18 months in high-risk heart failure patients.

Discussion

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Implication

Supports single post-discharge HBI in high-risk HF; extends RCT evidence for sustained 18-month outcome improvement.

Cite This Study

Stewart et al. (1999) studied this question.

synapsesocial.com/papers/69f69077e405cc4465bc28d8 https://doi.org/10.1001/archinte.159.3.257

Topics

Heart failure HFrEF treatment Heart failure hospitalization

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Prolonged Beneficial Effects of a Home-Based Intervention on Unplanned Readmissions and Mortality Among Patients With Congestive Heart Failure

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Prolonged Beneficial Effects of a Home-Based Intervention on Unplanned Readmissions and Mortality Among Patients With Congestive Heart Failure

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider