Technology Assessment: Non-Pharmacological Interventions for Post-Discharge Care in Heart Failure
Technology Assessment Report
Project ID: CRDT0607
February 29, 2008
Tufts-NEMC Evidence-based Practice Center
Gowri Raman, MD
Deirdre DeVine, MLitt
Joseph Lau, MD
This report is based on research conducted by the Tufts-New England Medical Center Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-02-0022). The findings and conclusions in this document are those of the authors who are responsible for its contents. The findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of the Agency for Healthcare Research and Quality or of the U.S. Department of Health and Human Services.
The information in this report is intended to help health care decision-makers; patients and clinicians, health system leaders, and policymakers, make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.
This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.
None of the investigators has any affiliations or financial involvement related to the material presented in this report.
Evaluation of key question 1
Interventions beginning inpatient
Interventions beginning post-discharge
Interventions in the outpatient clinics
Review of recent published systematic review
Discharge Plan data extraction/summary tables
Summary table templates
Table B1. Interventions on recruited patients inpatient
Table B2: Interventions post discharge
Table B3: Interventions on recruited patients in OPD clinic
Table C1a. Cost among patients with interventions beginning inpatient versus control
Table C1b. Combined endpoints of mortality or readmission in the intervention beginning inpatient compared with control group
Table C2a. Cost incurred among interventions post discharge versus control group
Table C2b. Combined endpoints of mortality or death among interventions post discharge versus control group
Table C3. Combined end points and costs incurred in patients beginning intervention in the outpatient clinic versus control group