Effectiveness of a transition plan at discharge of patients hospitalized with heart failure: a before-and-after study

ESC Heart Failure
Antoine GarnierOlivier Lamy

Abstract

We evaluated the effectiveness of a multidisciplinary transition plan to reduce early readmission among heart failure patients. We conducted a before-and-after study in a tertiary internal medicine department, comparing 3 years of retrospective data (pre-intervention) and 13 months of prospective data (intervention period). Intervention was the introduction in 2013 of a transition plan performed by a multidisciplinary team. We included all consecutive patients hospitalized with symptomatic heart failure and discharged to home. The outcomes were the fraction of days spent in hospital because of readmission, based on the sum of all days spent in hospital, and the rate of readmission. The same measurements were used for those with potentially avoidable readmissions. Four hundred thirty-one patients were included and compared with 1441 patients in the pre-intervention period. Of the 431 patients, 138 received the transition plan while 293 were non-completers. Neither the fraction of days spent for readmissions nor the rate of readmission decreased during the intervention period. However, non-completers had a higher rate of the fraction of days spent for 30 day readmission (19.2% vs. 16.1%, P = 0.002) and for potentially avoidable r...Continue Reading

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Citations

Jan 8, 2020·European Heart Journal Supplements : Journal of the European Society of Cardiology·Loreena Hill
Apr 29, 2020·International Journal of Environmental Research and Public Health·Hai Mai BaBo-Hwan Kim
Aug 3, 2021·Journal of the American Heart Association·Raunak NairUmesh N Khot
Jul 7, 2021·Hypertension·Kazuomi Kario, Bryan Williams

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