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April 14, 2008Archives of Internal Medicine

Pharmacist care in patients with heart failure significantly reduced the rate of all-cause hospitalizations (OR 0.71; 95% CI 0.54-0.94) and heart failure hospitalizations (OR 0.69; 95% CI 0.51-0.94).

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Why the study?

Does pharmacist care reduce hospitalizations and mortality in patients with heart failure?

Population

2060 patients with heart failure across 12 randomized controlled trials

Comparison

Pharmacist care activities in inpatient and… vs Control groups in the included randomized…

Design

Meta-analysis

Key result

Pharmacist care in patients with heart failure significantly reduced the rate of all-cause hospitalizations (OR 0.71; 95% CI 0.54-0.94) and heart failure hospitalizations (OR 0.69; 95% CI 0.51-0.94).

Authors

SKSheri L. Koshman

Discussion

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Overview

Supports pharmacist integration into heart failure care teams; confirms hospitalization reductions across trials.

Key Points

  • This systematic review aims to evaluate the effect of pharmacist care on patient outcomes in heart failure (HF).
  • Performed systematic review of randomized controlled trials evaluating pharmacist care impact on HF outcomes.
  • Searched multiple databases for studies assessing inpatient and outpatient pharmacist care interventions.
  • Calculated summary odds ratios (ORs) for hospitalization and mortality rates using a random-effects model.
  • 12 randomized controlled trials involving 2060 patients were identified.
  • Pharmacist care significantly reduced all-cause hospitalizations (OR, 0.71; 95% CI, 0.54-0.94) and HF hospitalizations (OR, 0.69; 95% CI, 0.51-0.94).
  • Pharmacist collaborative care led to greater reductions in HF hospitalizations (OR, 0.42; 95% CI, 0.24-0.74) compared to pharmacist-directed care (OR, 0.89; 95% CI, 0.68-1.17).

Study Design

Type

Systematic Review (n=2,060)

Structured PICO

Does pharmacist care reduce hospitalizations and mortality in patients with heart failure?

P
Population
2060 patients with heart failure across 12 randomized controlled trials
I
Intervention
Pharmacist care activities (pharmacist-directed care or pharmacist collaborative care) in inpatient and outpatient settings
C
Comparator
Control groups in the included randomized controlled trials
O
Outcome
Rates of all-cause hospitalization, HF hospitalization, and mortalityhard clinical

Main Result

Effect estimate: OR 0.71 (95% CI 0.54-0.94)

Pharmacist involvement in heart failure care teams significantly reduces the risk of all-cause and heart failure-specific hospitalizations.

Cite This Study

Sheri L. Koshman (2008) conducted a systematic review in Heart failure (n=2,060). Pharmacist care vs. Control was evaluated on All-cause hospitalization (OR 0.71, 95% CI 0.54-0.94). Pharmacist care in patients with heart failure significantly reduced the rate of all-cause hospitalizations (OR 0.71; 95% CI 0.54-0.94) and heart failure hospitalizations (OR 0.69; 95% CI 0.51-0.94).

synapsesocial.com/papers/6a181dbb56b3e2ada412eb2ehttps://doi.org/10.1001/archinte.168.7.687
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