A community-based disease management program for postmyocardial infarction reduces hospital readmissions compared with usual care

Jalal K Ghali MD (Commentary Author)
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引用次数: 4

Abstract

Question

Do community-based disease management programs for patients recovering from myocardial infarction reduce hospital readmissions compared with usual care?

Study design

Randomized controlled trial.

Main results

Disease management programme-based care (DMP) significantly reduced hospital re-admission days compared with usual care in patients recovering from myocardial infarction (number of readmission days for angina, congestive heart failure and chronic obstructive pulmonary disease per follow-up days: 11430,823 with DMP vs. 20034,021 with usual care; incidence density ratio (IDR): 1.59, 95% CI 1.27 to 2.00; P<0.001; number of all-cause hospital readmission days: 48330,823 with DMP vs. 81434,021 with usual care; IDR: 1.53, 95% CI 1.37 to 1.71; P<0.001). There was no significant difference in mortality after discharge between groups (8 with DMP vs. 11 with usual care; P>0.05).

Authors’ Conclusions

A community-based disease management program successfully reduced hospitalisation days for patients recovering from myocardial infarction compared with usual care.

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与常规护理相比,以社区为基础的心肌梗死后疾病管理方案减少了再入院率
问题:与常规护理相比,针对心肌梗死康复患者的社区疾病管理计划是否减少了再次入院?研究设计的随机对照试验。主要结果与常规护理相比,基于疾病管理方案的护理(DMP)显著减少了心肌梗死康复患者的住院天数(每随访天数心绞痛、充血性心力衰竭和慢性阻塞性肺病的再入院天数:DMP为11430823天,而常规护理为20034021天;发病密度比*(IDR):1.59,95%置信区间1.27至2.00;P<;0.001;全因住院天数:DMP为48330823天,常规护理为81434021天;印尼盾:1.53,95%置信区间1.37至1.71;P<;0.001)。两组出院后死亡率没有显著差异(DMP组8例,常规护理组11例;P>0.05)。作者的结论与常规护理相比,基于社区的疾病管理计划成功地减少了心肌梗死康复患者的住院天数。
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