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Case Management Implications for Pediatric Patients With Congenital Heart Disease in China: A Randomized Controlled

Linfang Zhang1, Xiuchun Chen1, Na Du1

  • 1Cardiac Intensive Care Unit, the Heart Center, Guangzhou Women and Children Medical Center, Guangzhou Medical University, Guangzhou, China.

Global Pediatric Health
|November 11, 2024
PubMed

Insights

Case management significantly improved patient satisfaction and quality of life in pediatric patients with congenital heart disease (CHD). This approach also effectively reduced hospital readmission rates for these children.

Area of Science:

  • Pediatric Cardiology
  • Healthcare Management
  • Chronic Disease Management

Background:

  • Case management is a collaborative process used in chronic disease care.
  • Its effectiveness in pediatric congenital heart disease (CHD) patients remains unclear.
  • This study investigates the impact of case management on pediatric CHD patients.

Purpose of the Study:

  • To explore the effects of a case management model in pediatric patients with congenital heart disease (CHD).
  • To compare patient satisfaction, quality of life, and clinical outcomes between case management and conventional nursing groups.

Main Methods:

  • 110 pediatric CHD patients were enrolled between January 2018 and January 2020.
  • Patients were randomly assigned to either a case management (experimental) group or a conventional nursing (control) group.
  • Outcomes assessed included patient satisfaction, quality of life, and clinical outcomes.

Main Results:

  • The case management group reported significantly higher patient satisfaction rates compared to the control group.
  • The experimental group demonstrated a significant improvement in quality of life (73.8±12.3 vs 66.5±14.2, P<.001).
  • Readmission rates were significantly lower in the case management group (5% vs 20%, P=.022).

Conclusions:

  • Case management is an effective model for pediatric patients with congenital heart disease (CHD).
  • This approach enhances patient satisfaction and health-related quality of life.
  • Implementing case management can lead to a reduction in hospital readmission rates for pediatric CHD patients.

Keywords:
case managementcongenital heart diseasequality of lifereadmission

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