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Breaking the 30-day barrier: Long-term effectiveness of a nurse-led 7-step transitional intervention program in heart failure.

Lidia AlcoberroPedro Moliner BorjaJoan VimeSantiago Jiménez-MarreroAlberto GaraySergi YunAlexandra Pons-RiverolaRaúl Ramos-PoloMar Ras-JiménezMarta TajesEncarna HidalgoEsther CaleroMarta RuizNuria José-BazánCarles FerreCristina DelsoLaia AlcoberCristina EnjuanesJosep Comin-Colet
Published in: PloS one (2023)
A new nurse-led coordinated transitional bundle of interventions model reduces the composite endpoint of all-cause death and all-cause hospitalization both at 90 and 180 days after a discharge for HF, also in high-risk populations. Such a decrease is driven by a reduction of CV and HF hospitalization. Reduction of all-cause mortality was also observed when the full model including a more exhaustive discharge planning process was implemented.
Keyphrases
  • heart failure
  • randomized controlled trial
  • primary care
  • acute heart failure
  • systematic review
  • physical activity