Key result
Altered scheduling of home care visits did not affect hospital readmission rates compared to usual care (11.4% vs 9.4%).
Why the study?
To determine whether the timing of home care visits following hospitalization for heart failure influences hospital readmission rates.
Does altered scheduling of home care visits reduce hospital readmission rates in recently discharged patients with heart failure?
RCT (n=67)
Does altered scheduling of home care visits reduce hospital readmission rates in recently discharged patients with heart failure?
Altering the scheduling of home care visits post-discharge for heart failure patients did not significantly affect hospital readmission rates, though home care visits improved adherence to self-care activities.
The purpose of this study was to determine if the timing of home care visits post hospitalization for heart failure influenced hospital readmission rates. Using a randomized control study design, hospital readmission data were collected from 67 recently discharged patients with heart failure. The control group (n = 32) received the usual care, whereas the intervention group (n = 35) received an altered scheduling of home care visits. Seven study participants were readmitted during the study time frame (control group n = 3; intervention group n = 4). Emergency room visits occurred three times (control group n = 1; intervention group n = 2). The timing of the home healthcare visit did not affect hospital readmission. Adherence to weight monitoring, fluid restriction, and medication administration improved with the home care visits. Greater attention to these activities should be the focus of home healthcare visits as they may decrease hospital readmissions.
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Strano et al. (2019) conducted an RCT in Heart failure (n=67). Altered scheduling of home care visits vs. Usual care was evaluated on Hospital readmission rates. Altered scheduling of home care visits did not affect hospital readmission rates compared to usual care (11.4% vs 9.4%).
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