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THE EFFECT OF EDUCATION AND FOLLOW UP AFTER DISCHARGE (FAD) ON REDUCING READMISSION RATE OF CHF PATIENTS A RANDOMIZED CONTROLLED TRIAL

Author : Reza Shekarriz-Foumani*, Nastaran Laal, Shadi Khosravi

Abstract

Background: Patients with heart failure (HF) more often visit emergency rooms, are admitted to hospital repeatedly, and have longer lengths of hospitalization. Moreover, inadequate and ineffective follow-up after discharge has increased the risk of unplanned readmissions, which have been a financial burden for healthcare systems. Objectives: The aim of this study was to determine the effects of patient education and post-discharge follow-up on outpatient visits to physician, adherence to medications and hospital readmission rate among HF patients. Methods: This randomized controlled trial was conducted on patients aged 20 and older with diagnosis of heart failure admitted to Taleghani hospital, Tehran, Iran. The patients in intervention group were educated based on recent guidelines and were followed up for 3 months by 9 telephone interviews (every week for the first month after discharge, then every two weeks for the next two months), but the control group received usual care. Every two weeks after discharge, data about main outcome measures were collected by telephone interviews, including frequency of outpatient visits to physician, frequency of readmissions and adherence to medications. Key words: Patient Readmission; Heart Failure; Patient Education; Transitional Care.

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