Transitional Care Interventions for Patients with Heart Failure: An Integrative Review

Int J Environ Res Public Health. 2020 Apr 23;17(8):2925. doi: 10.3390/ijerph17082925.

Abstract

Heart failure (HF) is a life-limiting illness and presents as a gradual functional decline with intermittent episodes of acute deterioration and some recovery. In addition, HF often occurs in conjunction with other chronic diseases, resulting in complex comorbidities. Hospital readmissions for HF, including emergency department (ED) visits, are considered preventable. Majority of the patients with HF are often discharged early in the recovery period with inadequate self-care instructions. To address these issues, transitional care interventions have been implemented with the common objective of reducing the rate of hospital readmission, including ED visits. However, there is a lack of evidence regarding the benefits and adverse effects of transitional care interventions on clinical outcomes and patient-related outcomes of patients with HF. This integrative review aims to identify the components of transitional care interventions and the effectiveness of these interventions in improving health outcomes of patients with HF. Five databases were searched from January 2000 to December 2019, and 25 articles were included.

Keywords: heart failure; integrative review; transitional care intervention.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Continuity of Patient Care / organization & administration*
  • Heart Failure / therapy*
  • Humans
  • Male
  • Outcome Assessment, Health Care
  • Patient Discharge
  • Patient Readmission
  • Quality of Life
  • Stroke Volume
  • Transitional Care*