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Some transitional care interventions more effective than others for reducing mortality, readmissions after heart failure

Home-visiting programs and multidisciplinary () clinic interventions reduce all-cause mortality and following heart failure, according to an article being published in Annals of Internal Medicine.

Structured telephone support (STS) reduced HF-specific mortality and . HF is the leading cause of hospitalization and health care costs in the United States and up to 25 percent of patients hospitalized with HF are readmitted within 30 days. Researchers conducted a systematic review and meta-analysis of published research to assess the efficacy of various intended to reduce and mortality rates for adults hospitalized with HF. These included home-visiting programs, STS, telemonitoring (remote monitoring of vitals, etc.), outpatient clinic-based, primarily educational (self-care training delivered before discharge), and others that did not fit into a broader category, such as individual peer support.

The researchers found that MDS-HF clinic interventions had the best evidence for reducing all-cause readmissions and mortality up to six months after hospitalization for HF. STS interventions proved effective for reducing HF-specific readmission and mortality.

Source

American College of Physicians