Key result
An advanced practice nurse-led transitional care program significantly reduced adjusted 30-day readmission rates by 48% compared to concurrent controls, but reduced hospital financial margins.
Why the study?
Does an advanced practice nurse-led transitional care program reduce 30-day readmission rates and costs in patients aged 65 or older with heart failure?
Population
Patients with heart failure aged 65 years or older discharged from Baylor Medical Center Garland between…
Comparison
Advanced practice nurse-led transitional care… vs Concurrent controls
Design
Cohort
Follow-up
60 days
Authors
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May reduce 30-day HF readmissions in older adults; extends observational data but leaves financial sustainability and causality open.
Cohort
Yes
Does an advanced practice nurse-led transitional care program reduce 30-day readmission rates and costs in patients aged 65 or older with heart failure?
Effect estimate: 48% reduction
A nurse-led transitional care program effectively reduces 30-day readmissions for older heart failure patients in a real-world setting, but may require payment reform to be financially sustainable for hospitals.
Brett D. Stauffer (2011) conducted a cohort in heart failure. advanced practice nurse-led transitional care program vs. concurrent controls (other hospitals within the Baylor Health Care System) was evaluated on 30-day all-cause readmission rate, length of stay, and 60-day direct cost (48% reduction). An advanced practice nurse-led transitional care program significantly reduced adjusted 30-day readmission rates by 48% compared to concurrent controls, but reduced hospital financial margins.
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