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Therapeutics
Review: a peridischarge multidisciplinary treatment programme reduces readmissions in heart failure

https://doi.org/10.1136/ebm.10.4.108

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    Gwadry-Sridhar FH, Flintoft V, Lee DS, et al. A systematic review and meta-analysis of studies comparing readmission rates and mortality rates in patients with heart failure. Arch Intern Med 2004;164:2315–20.
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 Q In patients who have been admitted with heart failure, is a peridischarge multidisciplinary treatment programme more effective than usual care for reducing rates of readmission and all cause mortality?

    Clinical impact ratings Internal medicine ★★★★★★☆ Cardiology ★★★★★☆☆

    METHODS

    Embedded ImageData sources:

    Medline (1966–2000), HealthSTAR (1975 to October 2000), EMBASE/Excerpta Medica, Cochrane Library, content experts, bibliographies of relevant articles, abstracts from relevant cardiology meetings, J Gen Intern Med, and Arch Intern Med.

    Embedded ImageStudy selection and assessment:

    randomised controlled trials (RCTs) that compared a multidisciplinary intervention (involving patient education directed at increasing patients’ knowledge about heart failure diagnosis, symptoms, and/or treatment) with usual care in patients >18 years of age who had been admitted for heart failure and enrolled in the trial during admission or immediately before or after discharge. Studies were also required to have …

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