Effect of a clinical case manager/clinical nurse specialist on patients hospitalized with congestive heart failure.

Nursing case management : managing the process of patient care Pub Date : 1998-07-01

R Topp, D Tucker, C Weber

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Abstract

The purpose of this study was to evaluate the effect of case management by a Clinical Case Manager/Clinical Nurse Specialist (CCM/CNS) on hospitalized length of stay and hospital charge throughout a 12-month period for patients with congestive heart failure. A total of 491 patients were discharged during 1997 with a diagnosis-related group code of 127. Of this number, 88 were case managed by a CCM/CNS. The remaining 403 received the usual management of their care. The group who were case managed by the CCM/CNS demonstrated significantly shorter length of stay (t = 5.40, P < 0.00) and lower hospital charges (t = 4.26, P < 0.00) than the patients with congestive heart failure who were not case managed. Secondary analysis indicated a significant interaction between case management and involvement of a cardiologist in the care of the patient. Patients whose care involved a cardiologist without case management by a CCM/CNS demonstrated significantly greater (alpha = 0.01) length of stay and hospital charges than patients who were case managed by a CCM/CNS or patients whose care did not involve a cardiologist.

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临床病例管理员/临床专科护士对充血性心力衰竭住院患者的影响。

本研究的目的是评估临床病例管理员/临床护理专家(CCM/CNS)对充血性心力衰竭患者住院时间和住院费用的影响。1997年共有491名患者出院，诊断相关组代码为127。其中，88例病例由CCM/CNS管理。其余403人接受了照护的常规管理。CCM/CNS组患者的住院时间显著缩短(t = 5.40, P < 0.00)，住院费用显著降低(t = 4.26, P < 0.00)。二次分析表明，病例管理和心脏病专家参与患者护理之间存在显著的相互作用。与由CCM/CNS进行病例管理的患者或没有由CCM/CNS进行病例管理的患者相比，由CCM/CNS进行病例管理的患者的住院时间和住院费用显著增加(α = 0.01)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nursing case management : managing the process of patient care

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