Why the study?
It was unclear whether home-based intervention for heart failure restricted to education and support improves readmissions or mortality compared with usual care.
Does home-based intervention (education and support) reduce readmissions and mortality in heart failure patients?
Does home-based intervention (education and support) reduce readmissions and mortality in heart failure patients?
Home-based interventions focusing on education and support significantly reduce readmission rates and mortality in patients with heart failure.
HBI may reduce HF readmissions; leaves open effects on mortality and need for confirmatory trials before practice change.
Aim: We investigated whether the home-based intervention (HBI) for heart failure (HF), restricted to education and support, improves readmissions or mortality compared with usual care. Patients & methods: We searched PubMed and Embase for randomized controlled trials that examined the impact of HBI in HF. A random-effects meta-analysis was performed using R. Result: Total 17/409 articles (3214 patients) met our inclusion criteria. The pooled estimate showed HBI was associated with a reduction in readmission rates and mortality (22 and 16% respectively; p < 0.05). Subgroup analysis confirmed that the benefit of HBI increases significantly with a longer follow-up. Conclusion: HBI in the form of education and support significantly reduces readmission rates and improves survival of HF patients. HBI should be considered in the discharge planning of HF patients.
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Malik et al. (2019) studied this question.
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