Dataset Information

Can home care for homebound patients with chronic heart failure reduce hospitalizations and costs?

ABSTRACT:

Background

Congestive heart failure (CHF), a common problem in adults, is associated with multiple hospitalizations, high mortality rates and high costs.

Purpose

To evaluate whether home care for homebound patients with CHF reduces healthcare service utilization and overall costs.

Methods

A retrospective study of healthcare utilization among homebound patients who received home care for CHF from 2012-1015. The outcome measures were number of hospital admissions per month, total number of hospitalization days and days for CHF only, emergency room visits, and overall costs. A comparison was conducted between the 6-month period prior to entry into home care and the time in home care.

Results

Over the study period 196 patients were treated by home care for CHF with a mean age of 79.4±9.5 years. 113 (57.7%) were women. Compared to the six months prior to home care, there were statistically significant decreases in hospitalizations (46.3%), in the number of total in-hospital days (28.7%), in the number of in-hospital days for CHF (66.7%), in emergency room visits (47%), and in overall costs (23.9%).

Conclusion

Home care for homebound adults with CHF can reduce healthcare utilization and healthcare costs.

SUBMITTER: Punchik B

PROVIDER: S-EPMC5533329 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Publications

Can home care for homebound patients with chronic heart failure reduce hospitalizations and costs?

Punchik Boris B Komarov Roman R Gavrikov Dmitry D Semenov Anna A Freud Tamar T Kagan Ella E Goldberg Yury Y Press Yan Y

PloS one 20170728 7

<h4>Background</h4>Congestive heart failure (CHF), a common problem in adults, is associated with multiple hospitalizations, high mortality rates and high costs.<h4>Purpose</h4>To evaluate whether home care for homebound patients with CHF reduces healthcare service utilization and overall costs.<h4>Methods</h4>A retrospective study of healthcare utilization among homebound patients who received home care for CHF from 2012-1015. The outcome measures were number of hospital admissions per month, t ...[more]

PMID: 28753675

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Project description:Background"Guidelines for the care of heart failure patients at home support safe and effective evidence-based practice. The aims of the present study were: [1] to identify guidelines addressing the care at home for adults with heart failure and [2] evaluate the quality of the guidelines and the extent to which they address eight components of home-based HF disease management."MethodsA systematic review was conducted of articles published between 1st of January 2000 to 17th of May 2021 using the databases of PubMed, Web of Science, Scopus, Embase, Cochrane, and nine specific websites for guideline development organisations. Clinical guidelines for HF patients with recommendations relevant to care provision at home were included. The results were reported according to the Preferred Reporting Items for Systematic Reviews (PRISMA-2020) criteria. The quality of included guidelines was evaluated using the Appraisal of Guidelines for Research and Evaluation-II (AGREE-II) by two authors independently. Guidelines were evaluated for their coverage of eight components of HF care at home, consisting of integration, multi-disciplinary care, continuity of care, optimized treatment, patient education, patient and partner participation, care plans with clear goals of care, self-care management and palliative care.ResultsTen HF guidelines, including two nursing-focused guidelines and eight general guidelines were extracted from 280 studies. After evaluation of quality by AGREE-II, two guidelines obtained the highest score: "NICE" and the "Adapting HF guideline for nursing care in home health care settings. Five guidelines addressed all eight components of care at home while the others had six or seven.ConclusionsThis systematic review identified ten guidelines addressing care at home for patients with HF. The highest quality guidelines most relevant to the care at home of patients with HF are the "NICE\" and "Adapting HF guideline for nursing care in home health care settings" and would be most appropriate for use by home healthcare nurses.

Dataset Information

Can home care for homebound patients with chronic heart failure reduce hospitalizations and costs?

Background

Purpose

Methods

Results

Conclusion

Publications

Can home care for homebound patients with chronic heart failure reduce hospitalizations and costs?

Similar Datasets

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