Educational Nursing Intervention in Reducing Hospital Readmission and the Mortality of Patients with Heart Failure: A Systematic Review and Meta-Analysis.
Cleidinaldo Ribeiro de Goes MarquesAndreia Freire de MenezesYasmim Anayr Costa FerrariAlan Santos OliveiraArthur César Melo TavaresAndré Sales BarretoRita de Cássia Almeida VieiraCassiane Dezoti da FonsecaEduesley Santana SantosPublished in: Journal of cardiovascular development and disease (2022)
(1) Background: Heart failure (HF) represents a public health problem due to its high morbidity and mortality, increased consumption of health resources, prolonged hospitalization, and frequent readmissions. This study was conducted to evaluate the effectiveness of a nursing educational intervention using home visits (HV) combined with telephone contact in reducing hospital readmission and the mortality of patients with HF. (2) Methods: This is systematic review and meta-analysis of randomized controlled trials (RCTs). The databases used were CINAHL, Cochrane, PubMed and SciELO. A gray literature search included Google Scholar, OpenThesis, Clinical trials and reference lists of eligible studies. RCTs of patients diagnosed with HF were included, distributed between the control group (CG) and intervention (IG), in which the IG was submitted to the nursing intervention with HV and telephone contact in association and analyzed the result of readmission and mortality. (3) Results: The search resulted in 2528 articles and, after following steps, 11 remained for final analysis. A total of 1417 patients were analyzed and distributed: 683 in the IG and 734 in the CG. As a primary outcome, the meta-analysis identified a 36% reduction in the risk of readmission [RR 0.64, 95% CI, 0.54−0.75, p < 0.01] and a 35% reduction in mortality in the IG [RR 0.65, 95% CI, 0.50−0.85, p < 0.01]. Heterogeneity was moderate for readmission and homogeneous for mortality. (4) Conclusions: HV and telephone contact are an effective intervention strategy for nurses’ educational practice.
Keyphrases
- systematic review
- healthcare
- randomized controlled trial
- public health
- cardiovascular events
- heart failure
- end stage renal disease
- mental health
- meta analyses
- clinical trial
- ejection fraction
- chronic kidney disease
- newly diagnosed
- risk factors
- primary care
- quality improvement
- prognostic factors
- acute heart failure
- cardiovascular disease
- type diabetes
- study protocol
- single cell
- high intensity
- risk assessment
- left ventricular
- big data