A 68-year-old man with systolic heart failure (EF 35%) presents with dyspnea, orthopnea, and 8-pound weight gain over two weeks. Vitals: BP 158/94, HR 108, RR 22, SpO2 92% on room air. BNP 450 pg/mL, elevated creatinine 1.8 mg/dL. No peripheral edema noted. He was discharged five days ago after hospitalization. The hospital's 30-day readmission rate is 28% versus the 22% national benchmark. Which intervention has the strongest evidence for reducing heart failure readmissions?
- A)Comprehensive discharge planning with medication reconciliation, patient education, and follow-up within 7 daysGABARITO
- B)Sending patients home with a pamphlet about heart failure self-management
- C)Scheduling a follow-up appointment at 30 days post-discharge
- D)Restricting discharge to weekdays when follow-up resources are available
- E)Calling patients once at 14 days to check on symptoms
Explicação
Comprehensive transitional care programs that include medication reconciliation at discharge, structured patient and caregiver education, and early post-discharge follow-up (within 7 days) have the strongest evidence base for reducing heart failure readmission... Ver explicação completa e trilha adaptativa →