Transitional Interventions to Reduce Readmissions for Heart-Failure
Patients: An Integrative Review.
Abstract Research demonstrates that heart failure is one of the most
common causes of readmission following hospitalization. Evaluating the
options for transitional care in this population and further identifying
what may be most effective for reducing hospital readmission is
imperative for improving both patient safety and care quality. Aim: The
purpose of this review was to assess the state of the science of
transitional care interventions and their utility for reducing hospital
readmissions in patients with heart failure during an 11-year period,
from 2010 to 2021. Method: A systematic search was conducted within five
databases, including CINAHL, EMBASE, OVID Medline, SCOPUS and Cochrane.
Results: Thirteen studies were included. Four transitional care
intervention were included such as home healthcare services,
multidisciplinary team care, telephone support/follow-up, and
telemonitoring. Conclusion: The evidence was consistent that home
healthcare services were effective in decreasing readmission rates among
heart failure patients, but telemonitoring programs were not effective.
On the other hand, evidence differed regarding the effect of telephone
support interventions and multidisciplinary team care in reducing