Examinando por Autor "Alza Landeo, Aurorita del Carmen"

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    Evaluating the effectiveness of interventions to reduce hospital readmissions in patients with heart failure.
    (Universidad Privada Norbert Wiener, 2018-12-02) Alza Landeo, Aurorita del Carmen; Gomez de la Cruz, Bertha Yakelin; Pretell Aguilar, Rosa Maria
    The systematic review of 10 scientific articles, no older than 10 years, on the effectiveness of interventions to reduce hospital readmissions in heart failure patients, found in the databases: Scielo, Cochrane Plus, Lilacs, Pubmed, Medline, and analyzed according to the Grade scale to determine their evidence quality and strength of recommendation. RESULTS: Of the 10 articles reviewed: 40% randomized controlled trials, 20% systematic reviews and meta-analyses, 20% retrospective and prospective cohort studies, 10% multicenter quasi-experimental trial, and 10% experimental study. 80% of the reviews indicate that various interventions significantly reduce hospital readmissions, highlighting individualized consultations by each professional, with the nurse as the manager in individualized education promoting self-care; telephone follow-ups, home visits, early post-discharge care, the use of day hospitals for decompensations, and telemedicine. However, 20% indicate no differences, and in some cases, readmissions are not reduced, due to the heterogeneity of interventions and the few existing studies. CONCLUSIONS: Of the 10 articles reviewed, 8 indicate the effectiveness of interventions to reduce hospital readmissions in heart failure patients, and 2 articles are discordant regarding some interventions to decrease hospital readmissions.