Table
of Contents
Appendix A
Search strategy
| #Search History |
Results |
| 1 discharge planning.mp. or exp Patient Discharge/ |
32632 |
2 case management.mp. or exp Patient Care Planning/
or exp Case
Management/ |
92238 |
| 3 patient readmission.mp. |
9266 |
| 4 Aftercare/ |
12568 |
| 5 Continuity of Patient Care/ |
20217 |
| 6 Patient Transfer/ |
8094 |
| 7 Post discharg$.tw. |
2180 |
| 8 Postdischarg$.tw. |
2738 |
| 9 Post hospital$.tw. |
1061 |
| 10 Posthospital$.tw. |
1047 |
| 11Predischarg$.tw. |
1810 |
| 12 Pre discharg$.tw. |
496 |
| 13 Patient$ discharg$.tw. |
7039 |
| 14Discharg$.ti. |
24270 |
15 ((readmission$ or early or premature or
care or medication or
destination or decision or decid$ or support$ or prepar$
or process$
or plan$ or system$) adj6 discharg$).tw. |
25564 |
| 16 or/1-15 |
194133 |
17 exp Heart Failure, Congestive/ or exp Cardiac
Output, Low/ or
Heart failure.mp. |
167913 |
| 18 16 and 17 |
3660 |
| 19 limit 18 to english language |
3394 |
| 20 limit 19 to “all adult (19 plus years)” |
2544 |
| 21 randomized controlled trial.pt. |
688706 |
| 22 controlled clinical trial.pt. |
221479 |
| 23 Randomized controlled trials/ |
125964 |
| 24 random allocation/ |
112192 |
| 25 double-blind method/ |
252902 |
| 26 single-blind method/ |
27409 |
| 27 clinical trial.pt. |
157319 |
| 28 (random$ or rct).tw. |
900347 |
| 29 controlled clinical trials/ |
39157 |
| 30 (clin$ adj trial$).tw. |
222839 |
31 ((singl$ or doubl$ or trebl$ or Tripl$)
adj (blind$ or
mask$)).tw. |
275580 |
| 32 exp PLACEBOS/ |
70143 |
| 33 placebo$.tw. |
288743 |
| 34 cross-over studies/ |
53318 |
| 35 evaluation studies/ |
214252 |
| 36 or/21-35 |
2048057 |
| 37 20 and 36 |
684 |
| 38 animal/ not (animal/ and human/) |
3078777 |
| 39 37 not 38 |
684 |
| 40 limit 39 to comment and (letter or editorial).pt. |
1 |
41 limit 39 to (addresses or bibliography or
biography or case
reports or congresses or consensus development conference
or
consensus development conference, nih or dictionary or directory
or
editorial or festschrift or government publications or interview
or
lectures or legal cases or legislation or news or newspaper
article
or patient education handout or periodical index) |
9 |
| 42 39 not (40 or 41) |
674 |
43 limit 42 to (guideline or meta analysis
or practice guideline or
“review”) |
30 |
| 44 42 not |
43644 |
| 45 limit 44 to yr=1990-2007 |
615 |
| 46 remove duplicates from 45 |
273 |
| Study Year |
|
|
| UI number |
|
|
Methods
Study design description |
|
|
| Randomization
method |
|
|
| Allocation
concealment |
|
|
| Blinding |
|
|
| Number
of centers |
|
|
| Recruitment
years |
|
|
| Duration
of followup |
|
|
Participants
Country |
|
|
| Study
inclusion criteria |
|
|
| Study
exclusion criteria |
|
|
| |
Overall |
Intervention |
Controls |
| N
randomized |
|
|
|
| Mean
age (SD) y |
|
|
|
| Males
% |
|
|
|
| Race
/ Ethnicity % |
|
|
|
| Severity
of heart failure (at index admission) |
|
NYHA:
LVEF%: |
NYHA:
LVEF%: |
| Severity
of heart failure (at baseline) |
|
NYHA:
LVEF%: |
NYHA:
LVEF%: |
| Duration
of CHF |
|
|
|
| History
- Myocardial infarction |
|
|
|
| History
of other CVD disease |
|
|
|
| ACE
inhibitor use |
|
|
|
| B-blockers |
|
|
|
| Diuretics |
|
|
|
| Other
medications |
|
|
|
| Interventions |
|
|
| Duration
of intervention |
|
|
| Intervention
group name |
|
|
Description
of intervention
During index hospitalization |
|
|
| After
discharge |
|
|
| Description of comparator |
|
|
| Followup times |
|
|
| Statistical Analyses |
|
|
| Intention to treat |
|
|
| Adjusted analyses |
|
|
| Outcomes description |
|
|
| Primary endpoint (with definition) |
|
|
| Secondary endpoint (with definition) |
|
|
| Notes |
|
|
| Rationale for sample size |
|
|
| Reasons for exclusion |
|
|
| List biases |
|
|
| Funding source |
|
|
| Is there any difference between
groups at baseline |
|
|
Discharge Plan data extraction/summary tables
| APPLICABILITY |
QUALITY |
| |
Wide Applicability:sample representative
of
Medicare population in relevant setting.
Patient’s age (older adult), gender, spectrum of
disease severity and type, etc are
representative of population of interest. |
|
A Good quality:Prospective, no obvious
biases or
reporting errors, <20% dropout, complete reporting of
data. |
| |
Moderate Applicability:sample is an important
sub-group of population of interest. Possibly
limited to a narrow or young age range, type of
disease, gender etc. |
|
B Fair quality:Problems with study/paper
unlikely to
cause major bias.. |
| |
Narrow Applicability:sample represents
only a
narrow, atypical subgroup of population of
interest, or old study. |
|
C Poor quality:Cannot exclude possible
significant
biases. Poor methods, incomplete data, reporting
errors. |
If applicability is graded narrow or moderate,
what are the limiting factors? |
If Quality is rated B or C, what are
the limiting factors?
(i.e., incomplete data, errors in analysis, definitions
not
clear, poor follow-up, dropouts) |
| |
|
Summary table templates
Randomized Controlled Studies (Intervention vs. Control), For
event rates
Population recruited:
| Outcome |
Study,
Year
Country |
Followup
Duration
(Intervention
y) |
No. Analyzed |
Control
Used |
Severity
of CHF |
Intervention
components |
Event Rate |
Net
change |
P
within |
P
Between |
Quality |
| Interv |
Control |
Interv |
Control |
| |
| |
| |
| |
Randomized Controlled Studies (Intervention vs. Control), For
continuous measures or that provide odds/risk ratio
Population recruited:
| Outcome |
Study,
Year
Country |
Followup
Duration
(Intervention
y) |
No. Analyzed |
Control
Used |
Severity
of CHF |
Intervention
components |
Baseline |
Results/Final |
Quality |
| Interv |
Control |
Metric/
Units |
Interv |
Control |
P
Between |
| |
| |
| |
| |
Bibliography
Atienza F.Multicenter randomized trial of a
comprehensive hospital discharge and outpatient heart failure
management program. European Journal of Heart Failure: Journal
of the Working Group on Heart Failure of the European Society
of Cardiology 2004 Aug;(5):643-52. AN - CN-00490661
Barth V.A nurse-managed discharge program for
congestive heart failure patients: outcomes and costs. Home Health
Care Management & Practice 2001;13(6):436-43.
Benatar D, Bondmass M, Ghitelman J, et al.Outcomes
of chronic heart failure.[see comment]. Archives of Internal
Medicine 2003 Feb 10;163(3):347-52. UI - 12578516
Blue L, Lang E, McMurray JJV, et al.Randomized
controlled trial of specialist nurse intervention in heart failure.
BMJ 2001 Sep 29; 323(7315): 715-8 (10 ref) ;(7315):715-8. UI
- 2002021276
Bouvy ML, Heerdink ER, Urquhart J, et al.Effect
of a pharmacist-led intervention on diuretic compliance in heart
failure patients: a randomized controlled study.[erratum appears
in J Card Fail. 2003 Dec;9(6):481 Note: Hoe Arno W [corrected
to Hoes Arno W]]. Journal of Cardiac Failure 2003 Oct;9(5):404-11.
UI - 14583903
Capomolla S P.Heart failure case disease management
program: a pilot study of home telemonitoring versus usual care.
European Heart Journal Supplements 2004;(6):F91-F98. AN - CN-00516857
Capomolla S, Febo O, Ceresa M, et al.Cost/utility
ratio in chronic heart failure: comparison between heart failure
management program delivered by day-hospital and usual care.[see
comment]. Journal of the American College of Cardiology 2002
Oct 2;40(7):1259-66. UI - 12383573
Cleland JG, Louis AA, Rigby AS, et al.Noninvasive
home telemonitoring for patients with heart failure at high risk
of recurrent admission and death: the Trans-European Network-Home-Care
Management System (TEN-HMS) study.[see comment]. Journal of the
American College of Cardiology 2005 May 17;45(10):1654-64. UI
- 15893183
Cline CM, Israelsson BY, Willenheimer RB, et al.Cost
effective management programme for heart failure reduces hospitalisation.[see
comment]. Heart 1998 Nov;80(5):442-6. UI - 9930041
DeBusk RF, Miller NH, Parker KM, et al.Care
management for low-risk patients with heart failure: a randomized,
controlled trial.[see comment][summary for patients in Ann Intern
Med. 2004 Oct 19;141(8):I58; PMID: 15492334]. Annals of Internal
Medicine 2004 Oct 19;141(8):606-13. UI - 15492340
Del SD, Pulignano G, Minardi G, et al.Two-year
outcome of a prospective, controlled study of a disease management
programme for elderly patients with heart failure.[see comment].
Journal of Cardiovascular Medicine 2007 May;8(5):324-9. UI -
17443097
Doughty RN, Wright SP, Pearl A, et al.Randomized,
controlled trial of integrated heart failure management: The
Auckland Heart Failure Management Study.[see comment]. European
Heart Journal 2002 Jan;23(2):139-46. UI - 11785996
Ducharme A, Doyon O, White M, et al.Impact
of care at a multidisciplinary congestive heart failure clinic:
a randomized trial.[see comment]. CMAJ Canadian Medical Association
Journal 2005 Jul 5;173(1):40-5. UI - 15997043
Dunagan WC, Littenberg B, Ewald GA, et al.Randomized
trial of a nurse-administered, telephone-based disease management
program for patients with heart failure.[see comment]. Journal
of Cardiac Failure 2005 Jun;11(5):358-65. UI - 15948086
Ekman I, Andersson B, Ehnfors M, et al.Feasibility
of a nurse-monitored, outpatient-care programme for elderly patients
with moderate-to-severe, chronic heart failure.[see comment].
European Heart Journal 1998 Aug;19(8):1254-60. UI - 9740348
Gattis WA, Hasselblad V, Whellan DJ, et al.Reduction
in heart failure events by the addition of a clinical pharmacist
to the heart failure management team: results of the Pharmacist
in Heart Failure Assessment Recommendation and Monitoring (PHARM)
Study.[see comment]. Archives of Internal Medicine 1999 Sep 13;159(16):1939-45.
UI - 10493325
GESICA I.Randomised trial of telephone intervention
in chronic heart failure: DIAL trial.[see comment]. BMJ 2005
Aug 20;331(7514):425. UI - 16061499
Goldberg LR, Piette JD, Walsh MN, et al.Randomized
trial of a daily electronic home monitoring system in patients
with advanced heart failure: the Weight Monitoring in Heart Failure
(WHARF) trial. American Heart Journal 2003 Oct;146(4):705-12.
UI - 14564327
Harrison MB, Browne GB, Roberts J, et al.Quality
of life of individuals with heart failure: a randomized trial
of the effectiveness of two models of hospital-to-home transition.[see
comment]. Medical Care 2002 Apr;40(4):271-82. UI - 12021683
Holland R, Brooksby I, Lenaghan E, et al.Effectiveness
of visits from community pharmacists for patients with heart
failure: HeartMed randomised controlled trial.[see comment].
BMJ 2007 May 26;334(7603):1098. UI - 17452390
Jaarsma T, Halfens R, Tan F, et al.Self-care
and quality of life in patients with advanced heart failure:
the effect of a supportive educational intervention. Heart & Lung
2000 Sep;29(5):319-30. UI - 10986526
Jerant AF, Azari R, Nesbitt TS.Reducing the
cost of frequent hospital admissions for congestive heart failure:
a randomized trial of a home telecare intervention. Medical Care
2001 Nov;39(11):1234-45. UI - 11606877
Kasper EK, Gerstenblith G, Hefter G, et al.A
randomized trial of the efficacy of multidisciplinary care in
heart failure outpatients at high risk of hospital readmission.
Journal of the American College of Cardiology 2002 Feb 6;39(3):471-80.
UI - 11823086
Koelling TM, Johnson ML, Cody RJ, et al.Discharge
education improves clinical outcomes in patients with chronic
heart failure. Circulation 2005 Jan 18;111(2):179-85. UI - 15642765
Krumholz HM, Amatruda J, Smith GL, et al.Randomized
trial of an education and support intervention to prevent readmission
of patients with heart failure.[see comment]. Journal of the
American College of Cardiology 2002 Jan 2;39(1):83-9. UI – 11755291
Laramee AS, Levinsky SK, Sargent J, et al.Case
management in a heterogeneous congestive heart failure population:
a randomized controlled trial. Archives of Internal Medicine
2003 Apr 14;163(7):809-17. UI - 12695272
Ledwidge M, Ryan E, O'Loughlin C, et al.Heart
failure care in a hospital unit: a comparison of standard 3-month
and extended 6-month programs. European Journal of Heart Failure
2005 Mar 16;7(3):385-91. UI - 15718179
Linne AB, Liedholm H.Effects of an interactive
CD-program on 6 months readmission rate in patients with heart
failure - a randomised, controlled trial [NCT00311194]. BMC Cardiovascular
Disorders 2006;6:30. UI - 16796760
Lopez CC, Falces SC, Cubi QD, et al.Randomized
clinical trial of a postdischarge pharmaceutical care program
vs regular follow-up in patients with heart failure.[see comment].
Farmacia Hospitalaria 2006 Nov;30(6):328-42. UI - 17298190
McDonald K, Ledwidge M, Cahill J, et al.Heart
failure management: multidisciplinary care has intrinsic benefit
above the optimization of medical care. Journal of Cardiac Failure
2002 Jun;8(3):142-8. UI - 12140806
Mejhert M, Kahan T, Persson H, et al.Limited
long term effects of a management programme for heart failure.[see
comment]. Heart 2004 Sep;90(9):1010-5. UI - 15310688
Morcillo C.[Evaluation of a home-based intervention
in heart failure patients. Results of a randomized study]. Revista
espanola de cardiologia 2005 Jun;(6):618-25. AN - CN-00528602
Murray MD, Young J, Hoke S, et al.Pharmacist
intervention to improve medication adherence in heart failure:
a randomized trial. Annals of Internal Medicine 2007 May 15;146(10):714-25.
UI - 17502632
Naylor MD, Brooten DA, Campbell RL, et al.Transitional
care of older adults hospitalized with heart failure: a randomized,
controlled trial.[see comment][erratum appears in J Am Geriatr
Soc. 2004 Jul;52(7):1228]. Journal of the American Geriatrics
Society 2004 May;52(5):675-84. UI - 15086645
Nucifora G, Albanese MC, De BP, et al.Lack
of improvement of clinical outcomes by a low-cost, hospital-based
heart failure management programme. Journal of Cardiovascular
Medicine 2006 Aug;7(8):614-22. UI - 16858241
Rainville EC.Impact of pharmacist interventions
on hospital readmissions for heart failure. American Journal
of Health-System Pharmacy 1999 Jul 1;56(13):1339-42. UI – 10683133
Rich MW, Beckham V, Wittenberg C, et al.A multidisciplinary
intervention to prevent the readmission of elderly patients with
congestive heart failure.[see comment]. New England Journal of
Medicine 1995 Nov 2;333(18):1190-5. UI - 7565975
Rich MW, Vinson JM, Sperry JC, et al.Prevention
of readmission in elderly patients with congestive heart failure:
results of a prospective, randomized pilot study. Journal of
General Internal Medicine 1993 Nov;8(11):585-90. UI - 8289096
Riegel B, Carlson B, Glaser D, et al.Randomized
controlled trial of telephone case management in Hispanics of
Mexican origin with heart failure.[see comment]. Journal of Cardiac
Failure 2006 Apr;12(3):211-9. UI - 16624687
Riegel B, Carlson B, Kopp Z, et al.Effect of
a standardized nurse case-management telephone intervention on
resource use in patients with chronic heart failure.[see comment].
Archives of Internal Medicine 2002 Mar 25;162(6):705-12. UI -
11911726
Sethares KA, Elliott K.The effect of a tailored
message intervention on heart failure readmission rates, quality
of life, and benefit and barrier beliefs in persons with heart
failure. Heart & Lung 2004 Jul;33(4):249-60. UI - 15252415
Sisk JE, Hebert PL, Horowitz CR, et al.Improving
patient care. Effects of nurse management on the quality of heart
failure care in minority communities: a randomized trial. Annals
of Internal Medicine 2006 Aug 15; 145(4): 273-83, I-28 (40 ref)
;(4):273-83. UI - 2009269286
Stewart S, Marley JE, Horowitz JD.Effects of
a multidisciplinary, home-based intervention on unplanned readmissions
and survival among patients with chronic congestive heart failure:
a randomised controlled study. Lancet 1999 Sep 25;354(9184):1077-83.
UI - 10509499
Stewart S, Pearson S, Horowitz JD.Effects of
a home-based intervention among patients with congestive heart
failure discharged from acute hospital care. Archives of Internal
Medicine 1998 May 25;158(10):1067-72. UI - 9605777
Stromberg A, Martensson J, Fridlund B, et al.Nurse-led
heart failure clinics improve survival and self-care behaviour
in patients with heart failure: results from a prospective, randomised
trial.[see comment]. European Heart Journal 2003 Jun;24(11):1014-23.
UI - 12788301
Thompson DR, Roebuck A, Stewart S.Effects of
a nurse-led, clinic and home-based intervention on recurrent
hospital use in chronic heart failure.[see comment]. European
Journal of Heart Failure 2005 Mar 16;7(3):377-84. UI - 15718178
Tsuyuki RT, Fradette M, Johnson JA, et al.A
multicenter disease management program for hospitalized patients
with heart failure.[see comment]. Journal of Cardiac Failure
2004 Dec;10(6):473-80. UI - 15599837
Varma S, McElnay JC, Hughes CM, et al.Pharmaceutical
care of patients with congestive heart failure: interventions
and outcomes. Pharmacotherapy 1999 Jul;19(7):860-9. UI - 10417035
Wierzchowiecki M, Poprawski K, Nowicka A, et al.A
new programme of multidisciplinary care for patients with heart
failure in Pozna: one-year follow-up. Kardiologia Polska 1071
Feb;64(10):1063-70. UI - 17089238
540 Gaither Road Rockville, MD 20850 