Key result
Transitional care interventions significantly reduced the risk of all-cause hospital readmissions by 8% (RR 0.92) and emergency department visits by 29% (RR 0.71) compared to usual care in patients with congestive heart failure.
Why the study?
Do transitional care interventions reduce all-cause hospital readmissions and emergency department visits in patients with congestive heart failure discharged to home?
Population
Patients with congestive heart failure discharged from inpatient departments to home. Pooled from 41 RCTs…
Comparison
Transitional care interventions of varying… vs Usual care consisting of predischarge education…
Design
Meta-analysis
Follow-up
1 to 24 months postdischarge
Authors
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Supports routine transitional care at heart failure discharge; strengthens Level 1 evidence for fewer readmissions and ED visits.
Meta-Analysis (n=10,863)
Not possible
Randomized
Do transitional care interventions reduce all-cause hospital readmissions and emergency department visits in patients with congestive heart failure discharged to home?
Effect estimate: RR 0.92 (95% CI 0.87-0.98)
Absolute Event Rate: 45.9% vs 47.8%
p-value: p=0.006
High-intensity transitional care interventions significantly reduce hospital readmissions and emergency department visits for patients with congestive heart failure recently discharged to home.
Vedel et al. (2015) conducted a meta-analysis in Congestive Heart Failure (n=10,863). Transitional care interventions (TCIs) vs. Usual care was evaluated on All-cause hospital readmission (RR 0.92, 95% CI 0.87-0.98, p=0.006). Transitional care interventions significantly reduced the risk of all-cause hospital readmissions by 8% (RR 0.92) and emergency department visits by 29% (RR 0.71) compared to usual care in patients with congestive heart failure.
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