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Core measures mandate that patients discharged from the hospital after heart failure (HF) exacerbations receive effective pharmacologic therapies. But transition-of-care services — such as home visits from nurses, which lower short-term mortality and hospital readmissions — are less used (Eur J Heart Fail 2017; 19:1427). Using various data sources, investigators constructed decision-analysis simulations to predict rehospitalization or death and to calculate cost-effectiveness of three postdischarge transitional care interventions in HF patients (age, 75).
With standard care, simulated patients had average life expectancy of 3 years and averaged three hospitalizations during their remaining lifetime. Compared with standard care, nurse home vi…