Effect of patient-centered transitional care services on clinical outcomes in patients hospitalized for heart failure: the PACT-HF randomized clinical trial

HGC Van Spall, SF Lee, F Xie, UE Oz, R Perez… - Jama, 2019 - jamanetwork.com
Importance Health care services that support the hospital-to-home transition can improve
outcomes in patients with heart failure (HF). Objective To test the effectiveness of the Patient …

Prediction models for the prediction of unplanned hospital admissions in community-dwelling older adults: a systematic review

JH Klunder, SL Panneman, E Wallace, R de Vries… - Plos one, 2022 - journals.plos.org
Background Identification of community-dwelling older adults at risk of unplanned
hospitalizations is of importance to facilitate preventive interventions. Our objective was to …

[HTML][HTML] Prognosis of cardiac arrest in home care clients and nursing home residents: A population-level retrospective cohort study

FI Mowbray, A Jones, RP Strum, L Turcotte, F Foroutan… - Resuscitation …, 2022 - Elsevier
Aim To evaluate the prognosis of 30-day survival post-cardiac arrest among patients
receiving home care and nursing home residents. Methods We conducted a population …

Assessments of heart failure and frailty-related health instability provide complementary and useful information for home-care planning and prognosis

GA Heckman, JP Hirdes, P Hébert, A Costa… - Canadian Journal of …, 2021 - Elsevier
Background Health instability, measured with the Changes in Health and End-Stage
Disease Signs and Symptoms (CHESS) scale, predicts hospitalizations and mortality in …

Lessons learned implementing and managing the DIVERT-CARE trial: practice recommendations for a community-based chronic disease self-management model

D Dash, C Schumacher, A Jones, AP Costa - BMC geriatrics, 2021 - Springer
Background Chronic disease management models of care provide an opportunity to assist
home care clients to manage their disease burden. However, pragmatic trial management …

Predicting unplanned hospital visits in older home care recipients: a cross-country external validation study

JH Klunder, V Bordonis, MW Heymans… - BMC geriatrics, 2021 - Springer
Background Accurate identification of older persons at risk of unplanned hospital visits can
facilitate preventive interventions. Several risk scores have been developed to identify older …

External validation of the detection of indicators and vulnerabilities for emergency room trips (DIVERT) scale: a retrospective cohort study

FI Mowbray, A Jones, C Schumacher, J Hirdes… - BMC geriatrics, 2020 - Springer
Abstract Background The Detection of Indicators and Vulnerabilities of Emergency Room
Trips (DIVERT) scale was developed to classify and estimate the risk of emergency …