Key result
TEACH-HF disease management linked to ~33% fewer 30-day readmissions versus usual care in HF patients.
Why the study?
Does the TEACH-HF disease management intervention reduce rehospitalization in hospitalized heart failure patients aged 65 and older?
Cohort (n=1,033)
No
Does the TEACH-HF disease management intervention reduce rehospitalization in hospitalized heart failure patients aged 65 and older?
Effect estimate: HR 1.5 (control vs intervention) (95% CI 1.2 - 1.9)
Absolute Event Rate: 12% vs 19%
p-value: p=0.001
A multidisciplinary disease management intervention including teach-back education, early follow-up, and home phone calls significantly reduced 30-day and 90-day readmissions in older heart failure patients.
May support structured HF disease management programs; hypothesis-generating pending randomized confirmation.
BACKGROUND: The objective of this study was to evaluate the effect of a disease management intervention on rehospitalization rates in hospitalized heart failure (HF) patients. METHODS: Patients treated with the TEACH-HF intervention that included Teaching and Education, prompt follow-up Appointments, Consultation for support services, and Home follow-up phone calls (TEACH-HF) from January 2010 to January 2012 constituted the intervention group (n = 548). Patients treated from January 2007 to January 2008 constituted the usual care group (n = 485). RESULTS: Group baseline characteristics were similar with 30-day readmission rates significantly different (19% usual care vs. 12% for the intervention respectively (P = 0.003)). Patients in the usual care group were 1.5 times more likely to be hospitalized (95% CI: 1.2 - 1.9; P = 0.001) compared to the intervention group. A savings of 641 bed days with potential revenue of $640,000 occurred after TEACH-HF. CONCLUSIONS: The TEACH-HF intervention was associated with significantly fewer hospital readmissions and savings in bed days.
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Howie‐Esquivel et al. (2015) conducted a cohort in Heart failure (n=1,033). TEACH-HF intervention vs. Usual care (historical cohort) was evaluated on 30-day all-cause rehospitalization (HR 1.5 (control vs intervention), 95% CI 1.2 - 1.9, p=0.001). The TEACH-HF disease management intervention significantly reduced 30-day all-cause hospital readmissions to 12% compared to 19% with usual care in hospitalized heart failure patients.
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