Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/67648
Title: | Impact of an educational program to reduce healthcare resources in community-acquired pneumonia: The EDUCAP randomized controlled trial |
Author: | Adamuz Tomás, Jordi Viasus, Diego Simonetti, Antonella Francesca Jiménez Martínez, Emilio Molero, Lorena González Samartino, Maribel Castillo, Elena Juvé Udina, Eulàlia Alcocer, María-Jesús Hernández, Carme Buera, María Pilar Roel Fernández, Asunción Abad, Emilia Zabalegui Yárnoz, Adelaida Ricart, Pilar González, Anna Isla Pera, Ma. Pilar (María Pilar) Dorca i Sargatal, Jordi Garcia Vidal, Carolina Carratalà, Jordi |
Keywords: | Pneumònia Consum d'alcohol Educació sanitària Malalts hospitalitzats Pneumonia Drinking of alcoholic beverages Health education Hospital patients |
Issue Date: | 13-Oct-2015 |
Publisher: | Public Library of Science (PLoS) |
Abstract: | BACKGROUND: Additional healthcare visits and rehospitalizations after discharge are frequent among patients with community-acquired pneumonia (CAP) and have a major impact on healthcare costs. We aimed to determine whether the implementation of an individualized educational program for hospitalized patients with CAP would decrease subsequent healthcare visits and readmissions within 30 days of hospital discharge. METHODS: A multicenter, randomized trial was conducted from January 1, 2011 to October 31, 2014 at three hospitals in Spain. We randomly allocated immunocompetent adults patients hospitalized for CAP to receive either an individualized educational program or conventional information before discharge. The educational program included recommendations regarding fluid intake, adherence to drug therapy and preventive vaccines, knowledge and management of the disease, progressive adaptive physical activity, and counseling for alcohol and smoking cessation. The primary trial endpoint was a composite of the frequency of additional healthcare visits and rehospitalizations within 30 days of hospital discharge. Intention-to-treat analysis was performed. RESULTS: We assigned 102 patients to receive the individualized educational program and 105 to receive conventional information. The frequency of the composite primary end point was 23.5% following the individualized program and 42.9% following the conventional information (difference, -19.4%; 95% confidence interval, -6.5% to -31.2%; P = 0.003). CONCLUSIONS: The implementation of an individualized educational program for hospitalized patients with CAP was effective in reducing subsequent healthcare visits and rehospitalizations within 30 days of discharge. Such a strategy may help optimize available healthcare resources and identify post-acute care needs in patients with CAP. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN39531840. |
Note: | Reproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0140202 |
It is part of: | PLoS One, 2015, vol. 10, num. 10, p. 1-12 |
URI: | http://hdl.handle.net/2445/67648 |
Related resource: | http://dx.doi.org/10.1371/journal.pone.0140202 |
ISSN: | 1932-6203 |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
655084.pdf | 428.87 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License