Improving quality of life and decreasing readmissions in heart failure patients in a multidisciplinary transition-to-care clinic

Heart Lung. 2017 Mar-Apr;46(2):79-84. doi: 10.1016/j.hrtlng.2016.11.003. Epub 2016 Dec 27.

Abstract

Objectives: The purpose was to pilot the feasibility and impact of a 4-week transition-to-care program on quality of life for heart failure patients.

Background: The transition from the acute care to the outpatient setting has been shown to be a critical time with heart failure patients.

Methods: A pre- and post-test design was used. Quality of Life, measured by the Minnesota Living with Heart Failure Questionnaire, and hospital readmissions were the outcomes. A convenience sample of 50 persons was recruited into a multidisciplinary transition-to-care program for heart failure patients following hospitalization. Thirty-six (72%) completed the study.

Results: There was a significant improvement in quality of life. Men reported greater improvement in physical symptoms and less emotional distress when compared to women. Only 2 participants were readmitted within 30 days.

Conclusions: Study findings support improved quality of life and decreased readmission rates following a multidisciplinary transition-to care program for heart failure patients.

Keywords: Heart failure; Hospitalization; Quality of life; Readmissions; Transition-to-care.

MeSH terms

  • Aged
  • Female
  • Follow-Up Studies
  • Heart Failure / psychology*
  • Heart Failure / therapy
  • Humans
  • Male
  • Outpatients*
  • Patient Readmission / trends*
  • Prospective Studies
  • Quality of Life*
  • Surveys and Questionnaires
  • Time Factors
  • Transitional Care / standards*