PMID- 24331204
OWN - NLM
STAT- MEDLINE
DCOM- 20140824
LR  - 20181202
IS  - 1532-8414 (Electronic)
IS  - 1071-9164 (Linking)
VI  - 19
IP  - 12
DP  - 2013 Dec
TI  - Utilization of trained volunteers decreases 30-day readmissions for heart 
      failure.
PG  - 842-50
LID - S1071-9164(13)01224-4 [pii]
LID - 10.1016/j.cardfail.2013.10.008 [doi]
AB  - BACKGROUND: This study evaluated the effectiveness of using trained volunteer 
      staff in reducing 30-day readmissions of congestive heart failure (CHF) patients. 
      METHODS: From June 2010 to December 2010, 137 patients (mean age 73 years) 
      hospitalized for CHF were randomly assigned to either: an interventional arm (arm 
      A) receiving dietary and pharmacologic education by a trained volunteer, 
      follow-up telephone calls within 48 hours, and a month of weekly calls; or a 
      control arm (arm B) receiving standard care. Primary outcomes were 30-day 
      readmission rates for CHF and worsening New York Heart Association (NYHA) 
      functional classification; composite and all-cause mortality were secondary 
      outcomes. RESULTS: Arm A patients had decreased 30-day readmissions (7% vs 19%; P 
      < .05) with a relative risk reduction (RRR) of 63% and an absolute risk reduction 
      (ARR) of 12%. The composite outcome of 30-day readmission, worsening NYHA 
      functional class, and death was decreased in the arm A (24% vs 49%; P < .05; RRR 
      51%, ARR 25%). Standard-care treatment and hypertension, age >/=65 years and 
      hypertension, and cigarette smoking were predictors of increased risk for 
      readmissions, worsening NYHA functional class, and all-cause mortality, 
      respectively, in the multivariable analysis. CONCLUSIONS: Utilizing trained 
      volunteer staff to improve patient education and engagement might be an efficient 
      and low-cost intervention to reduce CHF readmissions.
CI  - Copyright (c) 2013 Elsevier Inc. All rights reserved.
FAU - Sales, Virna L
AU  - Sales VL
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Ashraf, Muhammad Salman
AU  - Ashraf MS
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Lella, Leela K
AU  - Lella LK
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Huang, Jiaxin
AU  - Huang J
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Bhumireddy, Geetha
AU  - Bhumireddy G
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Lefkowitz, Lance
AU  - Lefkowitz L
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Feinstein, Mimi
AU  - Feinstein M
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Kamal, Mikail
AU  - Kamal M
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Caesar, Raqib
AU  - Caesar R
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Cusick, Elizabeth
AU  - Cusick E
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Norenberg, Jane
AU  - Norenberg J
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Lee, Jiwon
AU  - Lee J
AD  - Volunteer and Educational Resources Department, New York Methodist Hospital, 
      Brooklyn, New York.
FAU - Brener, Sorin
AU  - Brener S
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Sacchi, Terrence J
AU  - Sacchi TJ
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York.
FAU - Heitner, John F
AU  - Heitner JF
AD  - Division of Cardiology, New York Methodist Hospital, Brooklyn, New York. 
      Electronic address: jfh9003@nyp.org.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20131029
PL  - United States
TA  - J Card Fail
JT  - Journal of cardiac failure
JID - 9442138
SB  - IM
CRI - J Card Fail. 2014 May;20(5):377.e15-23. PMID: 25089310
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/epidemiology/*therapy
MH  - Hospital Volunteers/*statistics & numerical data/*trends
MH  - Humans
MH  - Male
MH  - Patient Education as Topic/methods/*trends
MH  - Patient Readmission/*trends
MH  - Prospective Studies
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Community patients
OT  - patient education
OT  - patient-centered intervention
OT  - risk factors
EDAT- 2013/12/18 06:00
MHDA- 2014/08/26 06:00
CRDT- 2013/12/17 06:00
PHST- 2013/07/13 00:00 [received]
PHST- 2013/10/19 00:00 [revised]
PHST- 2013/10/23 00:00 [accepted]
PHST- 2013/12/17 06:00 [entrez]
PHST- 2013/12/18 06:00 [pubmed]
PHST- 2014/08/26 06:00 [medline]
AID - S1071-9164(13)01224-4 [pii]
AID - 10.1016/j.cardfail.2013.10.008 [doi]
PST - ppublish
SO  - J Card Fail. 2013 Dec;19(12):842-50. doi: 10.1016/j.cardfail.2013.10.008. Epub 
      2013 Oct 29.