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Cost-effectiveness of transitional care services after hospitalization with heart failure

Annals of Internal Medicine Feb 01, 2020

Blum MR, et al. - A decision-analytic microsimulation model was designed to evaluate the cost-effectiveness of 3 types of postdischarge heart failure (HF) transitional care services and standard care. Individuals with HF who were aged 75 years at hospital discharge were included in this study. Quality-adjusted life-years (QALYs), costs, net monetary benefits, and incremental cost-effectiveness ratios were the outcome measures. It was reported that nurse home visits (NHVs) increased QALYs (2.49 vs. 2.25) and costs ($81 327 vs. $76 705), resulting in an ICER of $19 570 per QALY gained in comparison with standard care. The results showed that transitional care services are economically attractive, with NHVs being the most cost-effective strategy in many situations in older patients with HF.
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