Journal article
Utilization of Trained Volunteers Decreases 30-Day Readmissions for Heart Failure
Journal of cardiac failure, Vol.19(12), pp.842-850
12/2013
DOI: 10.1016/j.cardfail.2013.10.008
PMID: 24331204
Abstract
This study evaluated the effectiveness of using trained volunteer staff in reducing 30-day readmissions of congestive heart failure (CHF) patients.
From June 2010 to December 2010, 137 patients (mean age 73 years) hospitalized for CHF were randomly assigned to either: an interventional arm (arm A) receiving dietary and pharmacologic education by a trained volunteer, follow-up telephone calls within 48 hours, and a month of weekly calls; or a control arm (arm B) receiving standard care. Primary outcomes were 30-day readmission rates for CHF and worsening New York Heart Association (NYHA) functional classification; composite and all-cause mortality were secondary outcomes.
Arm A patients had decreased 30-day readmissions (7% vs 19%; P < .05) with a relative risk reduction (RRR) of 63% and an absolute risk reduction (ARR) of 12%. The composite outcome of 30-day readmission, worsening NYHA functional class, and death was decreased in the arm A (24% vs 49%; P < .05; RRR 51%, ARR 25%). Standard-care treatment and hypertension, age ≥65 years and hypertension, and cigarette smoking were predictors of increased risk for readmissions, worsening NYHA functional class, and all-cause mortality, respectively, in the multivariable analysis.
Utilizing trained volunteer staff to improve patient education and engagement might be an efficient and low-cost intervention to reduce CHF readmissions.
Details
- Title: Subtitle
- Utilization of Trained Volunteers Decreases 30-Day Readmissions for Heart Failure
- Creators
- Virna L. Sales - NewYork–Presbyterian Brooklyn Methodist HospitalMuhammad Salman Ashraf - NewYork–Presbyterian Brooklyn Methodist HospitalLeela K. Lella - NewYork–Presbyterian Brooklyn Methodist HospitalJiaxin Huang - NewYork–Presbyterian Brooklyn Methodist HospitalGeetha Bhumireddy - NewYork–Presbyterian Brooklyn Methodist HospitalLance Lefkowitz - NewYork–Presbyterian Brooklyn Methodist HospitalMimi Feinstein - NewYork–Presbyterian Brooklyn Methodist HospitalMikail Kamal - NewYork–Presbyterian Brooklyn Methodist HospitalRaqib Caesar - NewYork–Presbyterian Brooklyn Methodist HospitalElizabeth Cusick - NewYork–Presbyterian Brooklyn Methodist HospitalJane Norenberg - NewYork–Presbyterian Brooklyn Methodist HospitalJiwon Lee - NewYork–Presbyterian Brooklyn Methodist HospitalSorin Brener - NewYork–Presbyterian Brooklyn Methodist HospitalTerrence J. Sacchi - NewYork–Presbyterian Brooklyn Methodist HospitalJohn F. Heitner - NewYork–Presbyterian Brooklyn Methodist Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of cardiac failure, Vol.19(12), pp.842-850
- DOI
- 10.1016/j.cardfail.2013.10.008
- PMID
- 24331204
- NLM abbreviation
- J Card Fail
- ISSN
- 1071-9164
- eISSN
- 1532-8414
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Dermatology
- Record Identifier
- 9984296212502771
Metrics
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