Evidence map›Paper›PMID 19408042›Full record

ArticleIrish journal of medical science2009

Can we reduce preventable heart failure readmissions in patients enrolled in a Disease Management Programme?

D Phelan, L Smyth, M Ryder, N Murphy, C O'Loughlin, C Conlon, M Ledwidge, K McDonald

Registry-linked trialAbstract read
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In one paragraph

Article in Irish journal of medical science, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07040995 (FASTTRACK - Facilitated Access to Optimized Treatment and Clinical Follow-Up for Elderly Patients by the Internal Medicine Heart Failure Outpatient Clinic - a Randomized Multicenter Prospective Study), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07040995 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

FASTTRACK - Facilitated Access to Optimized Treatment and Clinical Follow-Up for Elderly Patients by the Internal Medicine Heart Failure Outpatient Clinic - a Randomized Multicenter Prospective Study

TypeinterventionalSponsorRegion SkaneRan2025 to 2028Enrolled0ConditionsHeart FailureArmsSwift follow-up
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Proportion of hospital readmissions deemed avoidable: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011
    Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Disease management programs for heart failure.Current treatment options in cardiovascular medicine · 2010
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

D PhelanHeart Failure Unit, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
L Smyth
M Ryder
N Murphy
C O'Loughlin
C Conlon
M Ledwidge
K McDonald

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisease Management Programmes (DMPs) are successful in reducing hospital readmissions in heart failure (HF). However, there remain a number of patients enrolled in a DMP who are readmitted with HF. The primary aim of the study was to determine the proportion of preventable readmissions (PR). The secondary aim was to recognise patient characteristics which would identify certain patients at risk of having a PR.

methodsA retrospective chart search was performed on patients readmitted over a 1-year period.

results38.5% of readmissions were classified as PR. None of these patients made prior contact with the DMP. Admission levels of BNP, potassium, urea and creatinine were significantly lower in the PR group.

conclusionDMP have proven benefits in reducing hospital readmission nonetheless a significant proportion of these readmissions are preventable. Further work is required to prospectively analyse why these patients fail to contact the DMP.

Indexed as

Disease ManagementAgedFemaleHeart FailureHumansIrelandLength of StayMalePatient ReadmissionPrognosisProgram EvaluationRetrospective StudiesRisk Factors

Identifiers

PMID19408042

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.