학술논문
Effect of physician prescribed information on hospital readmission and death after discharge among patients with health failure: A randomized controlled trial.
Document Type
Article
Source
Subject
*HEART failure treatment
*CONFIDENCE intervals
*PATIENT readmissions
*HEALTH outcome assessment
*RANDOMIZED controlled trials
*DRUG prescribing
*HEALTH
*INFORMATION resources
*DESCRIPTIVE statistics
*RESEARCH funding
*PHYSICIAN practice patterns
*PATIENT education
*STATISTICAL sampling
*PHARMACY information services
*HEART failure
*PROPORTIONAL hazards models
*LONG-term health care
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Language
ISSN
1460-4582
Abstract
In order to understand if a physician prescribed medical information changes, the number of hospital readmission, and death among the heart failure patients. A 12-month randomized controlled trial was conducted (December 2013-2014). Totally, 120 patients were randomly allocated into two groups of intervention (n = 60) and control (n = 60). Accordingly, the control group was given the routine oral information by the nurse or physician, and the intervention group received the Information Prescription (IP) prescribed by the physician as well as the routine oral information. The data was collected via telephone interviews with the follow-up intervals of 6 and 12 months, and also for 1 year after the discharge. The patients with the median age of (IQR) 69.5 years old (19.8) death upon adjusting a Cox survival model, [RR = 0.67, 95%CI: 0.46-0.97]. Few patients died during 1 year in the intervention group compared to the controls (7 vs 15) [RR = 0.47, 95%CI: 0.20-1.06]. During a period of 6-month follow-up there was not statistically significant on death and readmission between two groups. Physician prescribed information was clinically and statistically effective on the reduction of death and hospital readmission rates among the HF patients in long term follow-up. [ABSTRACT FROM AUTHOR]