Background: Readmissions after hospital discharge are common and costly, but prediction
models are poor at identifying patients at high risk of readmission. We evaluated the impact of …

BACKGROUND: Despite the availability of proven therapies, outcomes in patients with
heart failure (HF) remain poor. In this 2-stage, multicenter trial, we evaluated the effect of a …

Background: Optimization of systolic blood pressure and lipid levels are essential for secondary
prevention after ischemic stroke, but there are substantial gaps in care, which could be …

Background: Too few patients with nonvalvular atrial fibrillation (NVAF) receive appropriate
antithrombotic therapy. We tested the short-term (primary outcome) and long-term (…

Background Early readmissions to hospital after discharge are common, and clinicians cannot
accurately predict their occurrence. We examined whether patients who feel unready at …

Background Survivors of ischemic stroke/transient ischemic attack (TIA) are at high risk for
other vascular events. We evaluated the impact of 2 types of case management (hard touch …

Background: Hypertension is a major cause of cardiovascular disease in older individuals.
To ensure that blood pressure (BP) levels are within the optimal range, accurate BP …

Study Objective To identify the frequency of unintended medication discrepancies 30 days
postdischarge from medicine wards with interprofessional medication reconciliation …

Background: Proven efficacious therapies are sometimes underused in patients with chronic
cardiac conditions, resulting in suboptimal outcomes. We evaluated whether evidence …

Background: Diabetes and hypertension are devastating, deadly, and costly conditions that
are very common in seniors. Controlling hypertension in seniors with diabetes dramatically …