Source:http://linkedlifedata.com/resource/pubmed/id/16330907
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions |
umls-concept:C0001792,
umls-concept:C0012622,
umls-concept:C0013621,
umls-concept:C0018802,
umls-concept:C0021562,
umls-concept:C0029921,
umls-concept:C0030705,
umls-concept:C0183683,
umls-concept:C0205195,
umls-concept:C0344211,
umls-concept:C0814225,
umls-concept:C1171411,
umls-concept:C1317973,
umls-concept:C1521721,
umls-concept:C1880156
|
| pubmed:issue |
6
|
| pubmed:dateCreated |
2005-12-6
|
| pubmed:abstractText |
Multidisciplinary disease management programs for congestive heart failure have been shown to substantially reduce readmission rates, resulting in a reduction of costs. These interventions, however, have typically included changes in medical management, making it difficult to quantitate the key elements of a successful program involving education, discharge planning, and transitional care in the outpatient setting. The investigators utilized an experienced cardiac nurse educator to coordinate a targeted inpatient congestive heart failure education program coupled with comprehensive discharge planning and immediate outpatient reinforcement through a coordinated nurse-driven home health care program. The comprehensive intervention resulted in a marked reduction in 6-month readmission rates, from 44.2% to 11.4% (p=0.01). The average total cost saving for each subject in the interventional group was $1541, based on the decreased utilization of both skilled nursing services and home health care during outpatient follow-up. The costs to implement an inpatient education program were negligible, at $158 per subject. There was no difference in discharge medications or medical management protocols that would have influenced these results.
|
| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
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| pubmed:issn |
1527-5299
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
11
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
315-21
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:16330907-Aged,
pubmed-meshheading:16330907-Aged, 80 and over,
pubmed-meshheading:16330907-Case-Control Studies,
pubmed-meshheading:16330907-Connecticut,
pubmed-meshheading:16330907-Continuity of Patient Care,
pubmed-meshheading:16330907-Cost Savings,
pubmed-meshheading:16330907-Disease Management,
pubmed-meshheading:16330907-Geriatric Assessment,
pubmed-meshheading:16330907-Heart Failure,
pubmed-meshheading:16330907-Humans,
pubmed-meshheading:16330907-Middle Aged,
pubmed-meshheading:16330907-Patient Discharge,
pubmed-meshheading:16330907-Patient Education as Topic,
pubmed-meshheading:16330907-Probability,
pubmed-meshheading:16330907-Program Development,
pubmed-meshheading:16330907-Program Evaluation,
pubmed-meshheading:16330907-Reference Values,
pubmed-meshheading:16330907-Self-Help Groups
|
| pubmed:articleTitle |
Benefits of comprehensive inpatient education and discharge planning combined with outpatient support in elderly patients with congestive heart failure.
|
| pubmed:affiliation |
Department of Medicine, Division of Cardiovascular Medicine, Bridgeport Hospital, Bridgeport, CT 06610, USA.
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| pubmed:publicationType |
Journal Article,
Comparative Study
|