More COACHing Needed to Optimize Care after Heart Failure Hospitalization

Despite two decades of research, outcomes after hospitalizations for heart failure remain poor.1 Myriad interventions have been studied, yet most have failed to consistently improve outcomes.2 For example, tools to stratify risk exist, but their effect has been limited by modest predictive performance and uncertainty regarding how best to modify risk. Early follow-up after hospital discharge is recommended as a strategy to improve outcomes, but broad uptake has not occurred, in part because of limited resources. Through the Comparison of Outcomes and Access to Care for Heart Failure (COACH) trial, the results of which are published in this issue of . . .