Nursing telephone follow-up and outcomes in heart failure patients: a retrospective observational study

Submitted: 30 January 2025
Accepted: 13 May 2025
Published: 13 June 2025
Abstract Views: 81
PDF: 48
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Authors

Introduction: Heart Failure (HF) is associated with high rates of rehospitalization and mortality. Nursing telephone follow-up is rec- ognized as effective in ensuring adequate continuity of care and reducing post-discharge complications.

Objective: to evaluate the impact of a nurse-led telephone follow-up program on reducing hospital readmissions and mortality at 6 and 12 months after hospital discharge for HF.

Materials and Methods: the retrospective observational cohort study was conducted at the Cardiology outpatient clinic of a spoke hospital in northeastern Italy. Two groups of patients with heart failure (HF) were compared, one of which underwent telephone fol- low-up.

Results: in the first 6 months, the group without follow-up had an average of 0.56 hospital readmissions compared to 0.2 in the fol- low-up group (P=0.004). Six-month mortality was 20% in the group without follow-up and 4% in the follow-up group (P=0.014). Between 7 and 12 months, differences in readmissions and mortality were not statistically significant.

Conclusions: telephone follow-up conducted by trained nursing staff, aimed at comprehensive care including symptom monitoring and nursing coaching, during the 6 months following hospitalization for acute HF has a significantly positive impact on the number of hospital readmissions and mortality.

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How to Cite

Janjic, I., Caldarola, A., Graceffa, G., Lardieri, G., Tuzzi, A., & Creatti, C. (2025). Nursing telephone follow-up and outcomes in heart failure patients: a retrospective observational study. Scenario® - Il Nursing Nella Sopravvivenza, 42(2). https://doi.org/10.4081/scenario.2025.623