Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In their meta-analysis of management
of discharge planning for older patients with congestive heart failure, Drs
Phillips and colleagues1 concluded that
these programs were associated with an approximately 25% relative reduction
in the risk of readmission. We are concerned about the way that the authors
categorize the interventions. As primary investigators of 8 of the 18 trials
the authors included in their meta-analysis, we believe that these categories
obscure true differences among programs.
Riegel B, Naylor M, Stewart S, McMurray JJV, Rich MW. Interventions to Prevent Readmission for Congestive Heart Failure. JAMA. 2004;291(23):2816. doi:10.1001/jama.291.23.2816-a