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Feltner C, Jones CD, Cené CW, et al. Transitional Care Interventions To Prevent Readmissions for People With Heart Failure [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 May. (Comparative Effectiveness Reviews, No. 133.)

Cover of Transitional Care Interventions To Prevent Readmissions for People With Heart Failure

Transitional Care Interventions To Prevent Readmissions for People With Heart Failure [Internet].

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Appendix CCharacteristics of Interventions

Table C1. Intervention components for primarily educational interventions.

Table C1

Intervention components for primarily educational interventions.

Table C2. Intervention components for home visiting interventions (Part 1).

Table C2

Intervention components for home visiting interventions (Part 1).

Table C3. Intervention components for home visiting interventions (Part 2).

Table C3

Intervention components for home visiting interventions (Part 2).

Table C4. Intervention components for home visiting interventions (Part 3).

Table C4

Intervention components for home visiting interventions (Part 3).

Table C5. Intervention components for clinic-based interventions (Part 1).

Table C5

Intervention components for clinic-based interventions (Part 1).

Table C6. Intervention components for clinic-based interventions (Part 2).

Table C6

Intervention components for clinic-based interventions (Part 2).

Table C7. Intervention components for other interventions.

Table C7

Intervention components for other interventions.

Table C8. Intervention components for STS interventions (Part 1).

Table C8

Intervention components for STS interventions (Part 1).

Table C9. Intervention components for STS interventions (Part 2).

Table C9

Intervention components for STS interventions (Part 2).

Table C10. Intervention components for STS interventions (Part 3).

Table C10

Intervention components for STS interventions (Part 3).

Table C11. Intervention components for telemonitoring interventions (Part 1).

Table C11

Intervention components for telemonitoring interventions (Part 1).

Table C12. Intervention components for telemonitoring interventions (Part 2).

Table C12

Intervention components for telemonitoring interventions (Part 2).

Table C13. Intervention components for telemonitoring interventions (Part 3).

Table C13

Intervention components for telemonitoring interventions (Part 3).

Appendix C. References

1.
Albert NM, Buchsbaum R, Li J. Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors. Patient Educ Couns. 2007 Dec;69(1-3):129–39. [PubMed: 17913440]
2.
Koelling TM, Johnson ML, Cody RJ, et al. Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation. 2005 Jan 18;111(2):179–85. [PubMed: 15642765]
3.
Linne AB, Liedholm H. Effects of an interactive CD-program on 6 months readmission rate in patients with heart failure - a randomised, controlled trial [NCT00311194] BMC Cardiovasc Disord. 2006;6:30. [PMC free article: PMC1526456] [PubMed: 16796760]
4.
Nucifora G, Albanese MC, De Biaggio P, et al. Lack of improvement of clinical outcomes by a low-cost, hospital-based heart failure management programme. J Cardiovasc Med (Hagerstown). 2006 Aug;7(8):614–22. [PubMed: 16858241]
5.
Aldamiz-Echevarría Iraúrgui B, Muñiz J, Rodríguez-Fernández JA, et al. [[Randomized controlled clinical trial of a home care unit intervention to reduce readmission and death rates in patients discharged from hospital following admission for heart failure]]. Rev Esp Cardiol. 2007;(9):914–22. CN-00612373. [PubMed: 17915147]
6.
Holland R, Brooksby I, Lenaghan E, et al. Effectiveness of visits from community pharmacists for patients with heart failure: HeartMed randomised controlled trial. BMJ. 2007 May 26;334(7603):1098. [PMC free article: PMC1877883] [PubMed: 17452390]
7.
Jaarsma T, Halfens R, Huijer Abu-Saad H, et al. Effects of education and support on self-care and resource utilization in patients with heart failure. Eur Heart J. 1999 May;20(9):673–82. [PubMed: 10208788]
8.
Phillips CO, Wright SM, Kern DE, et al. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004 Mar 17;291(11):1358–67. [PubMed: 15026403]
9.
Kwok T, Lee J, Woo J, et al. A randomized controlled trial of a community nurse-supported hospital discharge programme in older patients with chronic heart failure. J Clin Nurs. 2008 Jan;17(1):109–17. [PubMed: 18088263]
10.
Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004 May;52(5):675–84. [PubMed: 15086645]
11.
Pugh LC, Havens DS, Xie S, et al. Case management for elderly persons with heart failure: the quality of life and cost outcomes. Medsurg Nurs. 2001;10(2):71–8.
12.
Rich MW, Vinson JM, Sperry JC, et al. Prevention of readmission in elderly patients with congestive heart failure: results of a prospective, randomized pilot study. J Gen Intern Med. 1993 Nov;8(11):585–90. [PubMed: 8289096]
13.
Rich MW, Beckham V, Wittenberg C, et al. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 1995 Nov 2;333(18):1190–5. [PubMed: 7565975]
14.
Sethares KA, Elliott K. The effect of a tailored message intervention on heart failure readmission rates, quality of life, and benefit and barrier beliefs in persons with heart failure. Heart Lung. 2004 Jul-Aug;33(4):249–60. [PubMed: 15252415]
15.
Stewart S, Pearson S, Horowitz JD. Effects of a home-based intervention among patients with congestive heart failure discharged from acute hospital care. Arch Intern Med. 1998 May 25;158(10):1067–72. [PubMed: 9605777]
16.
Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet. 1999 Sep 25;354(9184):1077–83. [PubMed: 10509499]
17.
Thompson DR, Roebuck A, Stewart S. Effects of a nurse-led, clinic and home-based intervention on recurrent hospital use in chronic heart failure. Eur J Heart Fail. 2005 Mar 16;7(3):377–84. [PubMed: 15718178]
18.
Triller DM, Hamilton RA. Effect of pharmaceutical care services on outcomes for home care patients with heart failure. Am J Health Syst Pharm. 2007 Nov 1;64(21):2244–9. [PubMed: 17959576]
19.
Blaha C, Robinson JM, Pugh LC, et al. Longitudinal nursing case management for elderly heart failure patients: notes from the field. Nurs Case Manag. 2000 Jan-Feb;5(1):32–6. [PubMed: 10855156]
20.
Kasper EK, Gerstenblith G, Hefter G, et al. A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. J Am Coll Cardiol. 2002 Feb 6;39(3):471–80. [PubMed: 11823086]
21.
Stromberg A, Martensson J, Fridlund B, et al. Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: results from a prospective, randomised trial. Eur Heart J. 2003 Jun;24(11):1014–23. [PubMed: 12788301]
22.
Ducharme A, Doyon O, White M, et al. Impact of care at a multidisciplinary congestive heart failure clinic: a randomized trial. CMAJ. 2005 Jul 5;173(1):40–5. [PMC free article: PMC1167811] [PubMed: 15997043]
23.
Ekman I, Andersson B, Ehnfors M, et al. Feasibility of a nurse-monitored, outpatient-care programme for elderly patients with moderate-to-severe, chronic heart failure. Eur Heart J. 1998 Aug;19(8):1254–60. [PubMed: 9740348]
24.
Liu MH, Wang CH, Huang YY, et al. Edema index-guided disease management improves 6-month outcomes of patients with acute heart failure. Int Heart J. 2012;53(1):11–7. [PubMed: 22398670]
25.
McDonald K, Ledwidge M, Cahill J, et al. Elimination of early rehospitalization in a randomized, controlled trial of multidisciplinary care in a high-risk, elderly heart failure population: the potential contributions of specialist care, clinical stability and optimal angiotensin-converting enzyme inhibitor dose at discharge. Eur J Heart Fail. 2001 Mar;3(2):209–15. [PubMed: 11246059]
26.
McDonald K, Ledwidge M, Cahill J, et al. Heart failure management: multidisciplinary care has intrinsic benefit above the optimization of medical care. J Card Fail. 2002 Jun;8(3):142–8. [PubMed: 12140806]
27.
Ledwidge M, Barry M, Cahill J, et al. Is multidisciplinary care of heart failure cost-beneficial when combined with optimal medical care? Eur J Heart Fail. 2003;(3):381–9. CN-00456908. [PubMed: 12798838]
28.
Oddone EZ, Weinberger M, Giobbie-Hurder A, et al. Enhanced access to primary care for patients with congestive heart failure. Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission. Eff Clin Pract. 1999 Sep-Oct;2(5):201–9. [PubMed: 10623052]
29.
Davis KK, Mintzer M, Dennison Himmelfarb CR, et al. Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. Eur J Heart Fail. 2012 Sep;14(9):1041–9. [PubMed: 22736737]
30.
Riegel B, Carlson B. Is individual peer support a promising intervention for persons with heart failure? J Cardiovasc Nurs. 2004 May-Jun;19(3):174–83. [PubMed: 15191260]
31.
Angermann CE, Stork S, Gelbrich G, et al. Mode of action and effects of standardized collaborative disease management on mortality and morbidity in patients with systolic heart failure: the Interdisciplinary Network for Heart Failure (INH) study. Circ Heart Fail. 2012 Jan;5(1):25–35. [PubMed: 21956192]
32.
Barth V. A nurse-managed discharge program for congestive heart failure patients: outcomes and costs. Home Health Care Manag Pract. 2001;(6):436–43. CN-00773514.
33.
Lopez Cabezas C, Falces Salvador C, Cubi Quadrada D, et al. Randomized clinical trial of a postdischarge pharmaceutical care program vs regular follow-up in patients with heart failure. Farm Hosp. 2006 Nov-Dec;30(6):328–42. [PubMed: 17298190]
34.
Domingues FB, Clausell N, Aliti GB, et al. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol. 2011 Mar;96(3):233–9. [PubMed: 21308343]
35.
Duffy JR, Hoskins LM, Dudley-Brown S. Improving outcomes for older adults with heart failure: a randomized trial using a theory-guided nursing intervention. J Nurs Care Qual. 2010 Jan-Mar;25(1):56–64. [PubMed: 19512945]
36.
Dunagan WC, Littenberg B, Ewald GA, et al. Randomized trial of a nurse-administered, telephone-based disease management program for patients with heart failure. J Card Fail. 2005 Jun;11(5):358–65. [PubMed: 15948086]
37.
Jerant AF, Azari R, Nesbitt TS. Reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care. 2001 Nov;39(11):1234–45. [PubMed: 11606877]
38.
Jerant AF, Azari R, Martinez C, et al. A randomized trial of telenursing to reduce hospitalization for heart failure: patient-centered outcomes and nursing indicators. Home Health Care Serv Q. 2003;22(1):1–20. [PubMed: 12749524]
39.
Laramee AS, Levinsky SK, Sargent J, et al. Case management in a heterogeneous congestive heart failure population: a randomized controlled trial. Arch Intern Med. 2003 Apr 14;163(7):809–17. [PubMed: 12695272]
40.
Rainville EC. Impact of pharmacist interventions on hospital readmissions for heart failure. Am J Health Syst Pharm. 1999 Jul 1;56(13):1339–42. [PubMed: 10683133]
41.
Riegel B, Carlson B, Kopp Z, et al. Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. Arch Intern Med. 2002 Mar 25;162(6):705–12. [PubMed: 11911726]
42.
Riegel B, Carlson B, Glaser D, et al. Randomized controlled trial of telephone case management in Hispanics of Mexican origin with heart failure. J Card Fail. 2006 Apr;12(3):211–9. [PubMed: 16624687]
43.
Tsuyuki RT, Fradette M, Johnson JA, et al. A multicenter disease management program for hospitalized patients with heart failure. J Card Fail. 2004 Dec;10(6):473–80. [PubMed: 15599837]
44.
Wakefield BJ, Ward MM, Holman JE, et al. Evaluation of home telehealth following hospitalization for heart failure: a randomized trial. Telemed J E Health. 2008 Oct;14(8):753–61. [PubMed: 18954244]
45.
Wakefield BJ, Holman JE, Ray A, et al. Outcomes of a home telehealth intervention for patients with heart failure. J Telemed Telecare. 2009;15(1):46–50. [PubMed: 19139220]
46.
Benatar D, Bondmass M, Ghitelman J, et al. Outcomes of chronic heart failure. Arch Intern Med. 2003 Feb 10;163(3):347–52. [PubMed: 12578516]
47.
Dar O, Riley J, Chapman C, et al. A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail. 2009;(3):319–25. CN-00681894. [PMC free article: PMC2645059] [PubMed: 19174529]
48.
Dendale P, De Keulenaer G, Troisfontaines P, et al. Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail. 2012 Mar;14(3):333–40. [PubMed: 22045925]
49.
Goldberg LR, Piette JD, Walsh MN, et al. Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J. 2003 Oct;146(4):705–12. [PubMed: 14564327]
50.
Pekmezaris R, Mitzner I, Pecinka KR, et al. The impact of remote patient monitoring (telehealth) upon Medicare beneficiaries with heart failure. Telemed J E Health. 2012 Mar;18(2):101–8. [PubMed: 22283360]
51.
Schwarz KA, Mion LC, Hudock D, et al. Telemonitoring of heart failure patients and their caregivers: a pilot randomized controlled trial. Prog Cardiovasc Nurs. 2008 Winter;23(1):18–26. [PubMed: 18326990]
52.
Woodend AK, Sherrard H, Fraser M, et al. Telehome monitoring in patients with cardiac disease who are at high risk of readmission. Heart Lung. 2008 Jan-Feb;37(1):36–45. [PubMed: 18206525]

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