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Randomised controlled trial
“Hospital at home” care shows similar mortality and subsequent hospital admissions to hospital care for older patients with acutely decompensated chronic heart failure
  1. Martin R Cowie
  1. Martin R Cowie
    National Heart and Lung Institute, Imperial College London, Dovehouse Street, London, SW3 6LY, UK; m.cowie{at}

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Heart failure remains one of the most common reasons for emergency hospital admission, and readmission rates are high when post-discharge follow-up is poor or in frequent. There is good evidence that multidisciplinary programmes are effective at reducing the risk of readmission to hospital for patients recently discharged after treatment of acute decompensation, particularly where these programmes include frequent contact with the patient at home, either physically or by telephone1 or by remotely monitoring physiological data.2 Much less attention has been directed to avoiding hospital admission altogether for those experiencing the crisis of acute decompensation by providing greatly increased clinical support at home-the “hospital at home” …

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  • Competing interests None.