A Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure
Why the study?
Does a nurse-directed, multidisciplinary intervention improve survival without readmission in elderly patients hospitalized with congestive heart failure?
Population
282 high-risk patients 70 years of age or older hospitalized with congestive heart failure.
Comparison
Nurse-directed, multidisciplinary intervention… vs Conventional care.
Design
RCT, randomized
Follow-up
90 days
Authors
Discussion
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Member takes
Implication
Does not meet primary endpoint; leaves open overall benefit of nurse-directed intervention while supporting readmission reduction in elderly HF.
Structured PICO
Does a nurse-directed, multidisciplinary intervention improve survival without readmission in elderly patients hospitalized with congestive heart failure?
P
Population
282 high-risk patients 70 years of age or older hospitalized with congestive heart failure.
I
Intervention
Nurse-directed, multidisciplinary intervention consisting of comprehensive education of the patient and family, a prescribed diet, social-service consultation and planning for an early discharge, a review of medications, and intensive follow-up.
C
Comparator
Conventional care.
O
Outcome
Survival for 90 days without readmission.composite
A nurse-directed multidisciplinary intervention reduces hospital readmissions, improves quality of life, and lowers costs for elderly patients hospitalized with heart failure.
Cite This Study
Rich et al. (1995) studied this question.