A Randomized Controlled Trial of Heart Failure Disease Management in Skilled Nursing Facilities.

ABSTRACT:

Objective

Patients discharged from the hospital to a skilled nursing facility (SNF) are not typically part of a heart failure disease management program (HF-DMP). The objective of this study is to determine if an HF-DMP in SNF improves outcomes for patients with HF.

Design

Cluster-randomized controlled trial.

Participants

The trial was conducted in 47 SNFs, and 671 patients were enrolled (329 HF-DMP; 342 to usual care).

Methods

The HF-DMP included documentation of ejection fraction, symptoms, weights, diet, medication optimization, education, and 7-day visit post SNF discharge. The composite outcome was all-cause hospitalization, emergency department visits, or mortality at 60 days. Secondary outcomes included the composite endpoint at 30 days, change in the Ka

SUBMITTER: Boxer RS 

PROVIDER: S-EPMC11903054 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature