PURPOSE: This article reviews 15 clinical trials of nurse-assisted case management intended to improve posthospital transitions of elderly patients to other settings. PRIMARY PRACTICE SETTING(S): Hospitals. METHODOLOGY AND SAMPLE: The trials were selected after a systematic search of the PubMed database for the period 1996 to 2006. RESULTS: Eight of the 15 interventions showed reduced hospital readmission rates and/or fewer hospital days. These findings were observed across patients with "all cause" and heart failure, a variety of hospital types, and variations in the intervention. Reductions in the use of emergency departments were observed in 3 of the 11 studies investigating this. Lower expenditures were reported by all 6 studies reporting such comparisons. IMPLICATIONS FOR CM PRACTICE: Home visits/continuous contact with patients, early postdischarge and frequent contacts, patient education, and the use of specialized nurses who could offer appropriate training and coaching were often credited as program strengths.
PURPOSE: This article reviews 15 clinical trials of nurse-assisted case management intended to improve posthospital transitions of elderly patients to other settings. PRIMARY PRACTICE SETTING(S): Hospitals. METHODOLOGY AND SAMPLE: The trials were selected after a systematic search of the PubMed database for the period 1996 to 2006. RESULTS: Eight of the 15 interventions showed reduced hospital readmission rates and/or fewer hospital days. These findings were observed across patients with "all cause" and heart failure, a variety of hospital types, and variations in the intervention. Reductions in the use of emergency departments were observed in 3 of the 11 studies investigating this. Lower expenditures were reported by all 6 studies reporting such comparisons. IMPLICATIONS FOR CM PRACTICE: Home visits/continuous contact with patients, early postdischarge and frequent contacts, patient education, and the use of specialized nurses who could offer appropriate training and coaching were often credited as program strengths.
Authors: Mark Toles; Ruth A Anderson; Mark Massing; Mary D Naylor; Eric Jackson; Sharon Peacock-Hinton; Cathleen Colón-Emeric Journal: J Am Geriatr Soc Date: 2014-01-02 Impact factor: 5.562
Authors: Valentin Prieto-Centurion; Michael A Markos; Norma I Ramey; Hélène A Gussin; Sharmilee M Nyenhuis; Min J Joo; Bharati Prasad; Nina Bracken; Robert Didomenico; Patrick O Godwin; Howard A Jaffe; Ravi Kalhan; Alan S Pickard; Barry R Pittendrigh; Bruce Schatz; Jamie L Sullivan; Byron M Thomashow; Mark V Williams; Jerry A Krishnan Journal: Ann Am Thorac Soc Date: 2014-03
Authors: Mark Toles; Julie Barroso; Cathleen Colón-Emeric; Kirsten Corazzini; Eleanor McConnell; Ruth A Anderson Journal: Fam Community Health Date: 2012 Oct-Dec
Authors: Lianne Jeffs; Madelyn P Law; Sharon Straus; Roberta Cardoso; Renee F Lyons; Chaim Bell Journal: BMJ Qual Saf Date: 2013-07-12 Impact factor: 7.035