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Cardiac Surgery Nurse Practitioner Home Visits Prevent Coronary Artery Bypass Graft Readmissions
A transitional care program was instituted for CABG patients to improve care continuity after hospital discharge. The composite outcome was a combination of hospital readmission and death. Among 169 pts who entered the program compared to 232 control patients, program participation was the only independent predictor of improved outcome. The incidence of the composite outcome was reduced by two-thirds for patients in the program.