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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
Data 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.
Study 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 …
Footnotes
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For correspondence: Dr F H Gwadry-Sridhar, University of Western Ontario and London Health Sciences Centre, London, Ontario, Canada. Femida.GwadrySridharlhsc.on.ca
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Sources of funding: Heart and Stroke Foundation of Canada and Canadian Institutes of Health Research.