Effect of home-based follow-up intervention on readmissions and mortality in heart failure patients: a meta-analysis.
Aaqib H MalikSenada S MalikWilbert S Aronownull nullPublished in: Future cardiology (2019)
Aim: We investigated whether the home-based intervention (HBI) for heart failure (HF), restricted to education and support, improves readmissions or mortality compared with usual care. Patients & methods: We searched PubMed and Embase for randomized controlled trials that examined the impact of HBI in HF. A random-effects meta-analysis was performed using R. Result: Total 17/409 articles (3214 patients) met our inclusion criteria. The pooled estimate showed HBI was associated with a reduction in readmission rates and mortality (22 and 16% respectively; p < 0.05). Subgroup analysis confirmed that the benefit of HBI increases significantly with a longer follow-up. Conclusion: HBI in the form of education and support significantly reduces readmission rates and improves survival of HF patients. HBI should be considered in the discharge planning of HF patients.
Keyphrases
- end stage renal disease
- ejection fraction
- heart failure
- newly diagnosed
- systematic review
- randomized controlled trial
- healthcare
- chronic kidney disease
- peritoneal dialysis
- cardiovascular disease
- cardiovascular events
- coronary artery disease
- clinical trial
- type diabetes
- palliative care
- quality improvement
- patient reported outcomes
- study protocol
- open label