Strategies to Modify the Risk for Heart Failure Readmission: A Systematic Review and Meta-analysis

  • Thomas T. H. Wan


Human factors play an important role in health-care outcomes of heart failure patients. A systematic review and meta-analysis of clinical trial studies on heart failure hospitalization may yield positive proofs of the beneficial effect of specific care management strategies.

We investigate how the eight guiding principles of choice, rest, environment, activity, trust, interpersonal relationships, outlook, and nutrition may reduce heart failure (HF) readmissions.

Appropriate keywords were identified related to the (1) independent variable of hospitalization and treatment, (2) moderating variable of care management principles, (3) dependent variable of readmission, and (4) disease of HF to conduct searches in nine databases on clinical trial studies. In the meta-analysis, data were collected from studies that measured HF readmission for individual patients. The results indicate that an intervention involving any human factor principles may nearly double an individual’s probability of not being readmitted. Interventions with human factor principles reduce readmissions among HF patients. Overall, this review may help reconfigure the design, implementation, and evaluation of clinical practice for reducing HF readmissions in the future.


Heart failure readmission Care management strategies Moderating effects Human factors in heart health care Risk reduction approach Meta-analysis 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Thomas T. H. Wan
    • 1
  1. 1.College of Health and Public AffairsUniversity of Central FloridaOrlandoUSA

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