{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:48:36Z","timestamp":1747194516187,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"vor","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Pulm. circ."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Pulmonary hypertension currently has minimal guidelines for outpatient disease management. Congestive heart failure studies, however, have shown effectiveness of disease management plans in reducing all\u2010cause mortality and all\u2010cause and congestive heart failure\u2010related hospital readmissions. Heart failure exacerbation is a common reason for readmission in both pulmonary hypertension and congestive heart failure. Our aim was to review individual studies and comprehensive meta\u2010analyses to identify effective congestive heart failure interventions that can be used to develop similar disease management plans for pulmonary hypertension. A comprehensive literature review from 1993 to 2019\u00a0included original articles, systematic reviews, and meta\u2010analyses. We reviewed topics of outpatient congestive heart failure interventions to decrease congestive heart failure mortality and readmission and patient management strategies in congestive heart failure. The most studied interventions included case management, multidisciplinary intervention, structured telephone strategy, and tele\u2010monitoring. Case management showed decreased all\u2010cause mortality at 12\u00a0months, all\u2010cause readmission at 12\u00a0months, and congestive heart failure readmission at 6 and 12\u00a0months. Multidisciplinary intervention resulted in decreased all\u2010cause readmission and congestive heart failure readmission. There was some discrepancy on effectiveness of tele\u2010monitoring programs in individual studies; however, meta\u2010analyses suggest tele\u2010monitoring provided reduced all\u2010cause mortality and risk of congestive heart failure hospitalization. Structured telephone strategy had similar results to tele\u2010monitoring including decreased risk of congestive heart failure hospitalization, without effect on mortality. Extrapolating from congestive heart failure data, it seems strategies to improve the health of pulmonary hypertension patients and development of comprehensive care programs should include structured telephone strategy and\/or tele\u2010monitoring, case management strategies, and multidisciplinary interventions.<\/jats:p>","DOI":"10.1177\/2045894020968471","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T08:48:15Z","timestamp":1602578895000},"page":"1-10","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Reducing rates of readmission and development of an outpatient management plan in pulmonary hypertension: lessons from congestive heart failure management"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-4416","authenticated-orcid":false,"given":"Justin","family":"Dolan","sequence":"first","affiliation":[{"name":"Department of 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murali","family":"Chakinala","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Washington University St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franck","family":"Rahaghi","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Cleveland Clinic Florida Weston FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12]]},"reference":[{"issue":"8","key":"e_1_2_11_2_1","article-title":"Structured telephone support or telemonitoring programmes for patients with chronic heart failure","author":"Inglis SC","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_3_1","article-title":"Disease management interventions for heart failure","volume":"1","author":"Takeda A","year":"2019","journal-title":"Cochrane Database Syst 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