A number of intervention trials, mostly including persons younger than 70 years, investigated whether a post-discharge nurse-based case management may influence patient readmission and other outcomes in CHD [12,13]. Although the results of prior studies showed a positive effect on the process of care, survival, and functional status or quality of life of patients with CHD these findings cannot be generalized to higher age-groups. Very few studies reported on case management programmes in people older than 65 years and described the costs of intervention