Randomized Controlled Trial of Telephone Case Management in Hispanics of Mexican Origin With Heart Failure

Riegel, Bárbara; Carlson, Beverly; Glaser, Dale; Romero, Tomás

doi:10.1016/j.cardfail.2006.01.005

Cited by 138 publications

(197 citation statements)

References 25 publications

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“…The meta-analysis showed a significant reduc- Riegel et al, 37 2006 X 11 RCTs had a prearranged telephone followup. [37][38][39][40][41][42][43][44]53,56,62 Patients received 3 to 16 telephone calls (over a 2-to 12-month period).…”

Section: Effect On All-cause Hospital Readmissionmentioning

confidence: 93%

“…The meta-analysis showed a significant reduc- Reasons for exclusion: duplicates; editorials; letters; comments; reviews; protocols without data, without an intervention; not on transition, transition within hospitals, to nursing home, within specialist services; from emergency to the hospital; emergency conditions; education/health promotion; speci c intervention (eg, medication prescription only) 5 trials identied through the screening of reference lists 41 included in the systematic review * References 35,37,38,41,[44][45][46][47]50,54,55,57,60,67,68,73 T …”

Section: Effect On All-cause Hospital Readmissionmentioning

confidence: 99%

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Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

Vedel

Khanassov

2015

The Annals of Family Medicine

100

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PURPOSE We aimed to determine the impact of transitional care interventions (TCIs) on acute health service use by patients with congestive heart failure in primary care and to identify the most effective TCIs and their optimal duration. METHODSWe conducted a systematic review and meta-analysis of randomized controlled trials, searching the Medline, PsycInfo, EMBASE, and Cochrane Library databases. We performed a meta-analysis to assess the impact of TCI on all-cause hospital readmissions and emergency department (ED) visits. We developed a taxonomy of TCIs based on intensity and assessed the methodologic quality of the trials. We calculated the relative risk (RR) and a 95% confidence interval for each outcome. We conducted a stratified analysis to identify the most effective TCIs and their optimal duration. RESULTSWe identified 41 randomized controlled trials. TCIs significantly reduced risks of readmission and ED visits by 8% and 29%, respectively (relative risk = 0.92; 95% CI, 0.87-0.98; P = .006 and relative risk = 0.71; 95% CI, 0.51-0.98; P = .04). High-intensity TCIs (combining home visits with telephone followup, clinic visits, or both) reduced readmission risk regardless of the duration of follow-up. Moderate-intensity TCIs were efficacious if implemented for a longer duration (at least 6 months). In contrast, low-intensity TCIs, entailing only followup in outpatient clinics or telephone follow-up, were not efficacious. CONCLUSIONS Clinicians and managers who implement TCIs in primary carecan incorporate these results with their own health care context to determine the optimal balance between intensity and duration of TCIs. High-intensity interventions seem to be the best option. Moderate-intensity interventions implemented for 6 months or longer may be another option. INTRODUCTIONC ongestive heart failure (CHF) imposes an increasingly heavy burden on health care systems, most of which can be attributed to numerous hospital readmissions and emergency department (ED) visits. [1][2][3] Multiple exacerbations of CHF result in frequent use of acute health care services by these patients, known as revolving door users. After discharge, 25% of patients are readmitted within the first 30 days, 4,5 and 50% within the first 6 months. 6,7 This frequent use of health care services is mainly due to lack of understanding of a treatment plan, nonadherence to medical therapy, unawareness of CHF symptom exacerbation, and irregular follow-up. [8][9][10][11][12] Lack of coordination and communication between hospitalists and primary care physicians (PCPs) has been documented. 13,14 PCPs too often do not receive discharge summaries, 15 and when they do receive them, the summaries often lack appropriate documentation of medication indication and advice for follow-up. It is therefore difficult for PCPs to plan an appropriate follow-up after hospital discharge. 16To address these issues, transitional care interventions (TCIs) have been implemented with a common objective of reducing the rate of hos- 563pital readmis...

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Section: Effect On All-cause Hospital Readmissionmentioning

confidence: 93%

Section: Effect On All-cause Hospital Readmissionmentioning

confidence: 99%

Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

Vedel

Khanassov

2015

The Annals of Family Medicine

100

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“…111 Multidisciplinary, multicomponent disease management programs for patients with heart failure were examined in 7 studies. [112][113][114][115][116][117][118] The results were strong evidence that disease management programs do not decrease depressive symptoms in patients with heart failure. The objective of disease management programs is not reduction in depression, and these programs may have other benefits for patients with heart failure.…”

Section: Effects Of Selective Serotonin Reuptake Inhibitors and Exercisementioning

confidence: 99%

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Chapa

Akintade

Son

et al. 2014

Critical Care Nurse

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H eart failure is an epidemic with national and global implications. Compared with the situation in other cardiac diseases, the incidence and prevalence of heart failure continue to increase despite recent advancements in understanding and treatment. Increased survival after myocardial infarction, aging of the population, and increased incidence of diabetes are contributing factors. This article has been designated for CNE credit. A closed-book, multiple-choice examination follows this article, which tests your knowledge of the following objectives:1. Describe the biopsychosocial holistic model for cardiovascular health 2. Identify 2 neurohormonal pathways and their impact in heart failure 3. Identify nursing implications for heart failure, depression, and anxiety CNE Continuing Nursing EducationCover Depression and anxiety are common comorbid conditions in patients with heart failure. Patients with heart failure and depression have increased mortality. The association of anxiety with increased mortality in patients with heart failure is not established. The purpose of this article is to illustrate the similarities of the underlying pathophysiology of heart failure, depression, and anxiety by using the Biopsychosocial Holistic Model of Cardiovascular Health. Depression and anxiety affect biological processes of cardiovascular function in patients with heart failure by altering neurohormonal function via activation of the hypothalamic-pituitary-adrenal axis, autonomic dysregulation, and activation of cytokine cascades and platelets. Patients with heart failure and depression or anxiety may exhibit a continued cycle of heart failure progression, increased depression, and increased anxiety. Understanding the underlying pathophysiological relationships in patients with heart failure who experience comorbid depression and/or anxiety is critical in order to implement appropriate treatments, educate patients and caregivers, and educate other health professionals. (Critical Care Nurse. 2014;34[2]:14-25)

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“…54 The impact of telephone coaching on health service use is unclear. Overall, telephone coaching did not significantly reduce health service use 21,41,43,55 and in some, health service use was increased with the intervention. 33,34 The increase in health service use was reported in the IDEATel study where there were higher Medicare claims and more referrals to other health providers for those in the intervention group.…”

Section: Discussionmentioning

confidence: 80%

“…Overall, 14 studies reported some linkage with PCPs, mostly for patients at level 2 (8/13) and level 3 (4/10) rather than level 1 (2/7). The types of linkages included regular reports to the patient's usual general practitioner (GP), 28,36,[41][42][43] and contacting the usual primary healthcare provider when medical problems required intervention such as medication changes. 33,[43][44][45][46] …”

Section: Linkages Between Telephone Coaching and Usual Providers (Egmentioning

confidence: 99%

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

Dennis

Harris

Lloyd

et al. 2013

Aust. Health Review

101

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Objective. To examine the effectiveness of telephone-based coaching services for the management of patients with chronic diseases.Methods. A rapid scoping review of the published peer reviewed literature, using Medline, Embase, CINAHL, PsychNet and Scopus. We included studies involving people aged 18 years or over with one or more of the following chronic conditions: type 2 diabetes, congestive cardiac failure, coronary artery disease, chronic obstructive pulmonary disease and hypertension. Patients were identified as having multi-morbidity if they had an index chronic condition plus one or more other chronic condition. To be included in this review, the telephone coaching had to involve two-way conversations by telephone or video phone between a patient and a provider. Behaviour change, goal setting and empowerment are essential features of coaching.Results. The review found 1756 papers, which was reduced to 30 after screening and relevance checks. Most coaching services were planned, as opposed to reactive, and targeted patients with complex needs who had one or more chronic disease. Several studies reported improvements in health behaviour, self-efficacy, health status and satisfaction with the service. More than one-third of the papers targeted vulnerable people and telephone coaching was found to be effective for these people.Conclusions. Telephone coaching for people with chronic conditions can improve health behaviour, self-efficacy and health status. This is especially true for vulnerable populations who had difficulty accessing health services. There is less evidence for improvements in quality of life and patient satisfaction with the service. The evidence for improvements in health service use was limited. This rapid scoping review found that telephone-based coaching can enhance the management of chronic disease, especially for vulnerable groups. Further work is needed to identify what models of telephone coaching are most effective according to patients' level of risk and co-morbidity. What is known about the topic?With the increasing prevalence of chronic diseases more demands are being made of limited health services and resources. Telephone health coaching for people with or at risk of chronic diseases is seen as a means of supporting people to manage their health and reducing the burden on the healthcare system. What does this paper add? Telephone coaching interventions were effective for vulnerable people with chronic disease (s). Often the vulnerable populations had worse control of their chronic condition at baseline and demonstrated the greatest improvement compared with those with better control at baseline. Planned (i.e. weekly or monthly telephone calls to support the patients with chronic disease) and unscripted telephone coaching interventions appear to be most effective for improving self-management skills in people from vulnerable groups: the planned telephone coaching services had the advantage of regular contact and helping people develop their skills over time, whereas the u...

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Randomized Controlled Trial of Telephone Case Management in Hispanics of Mexican Origin With Heart Failure

Cited by 138 publications

References 25 publications

Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

Transitional Care for Patients With Congestive Heart Failure: A Systematic Review and Meta-Analysis

Pathophysiological Relationships Between Heart Failure and Depression and Anxiety

Do people with existing chronic conditions benefit from telephone coaching? A rapid review

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