Factors Associated With Adherence to 14-Day Office Appointments After Heart Failure Discharge

Distelhorst, Karen S.; Claussen, Renee; Dion, Kelly; Bena, James; Morrison, Shannon L.; Walker, Donna; Tai, Hua Li; Albert, Nancy

doi:10.1016/j.cardfail.2018.04.006

Cited by 10 publications

(7 citation statements)

References 11 publications

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“…The 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure recommend that patients, after HF hospitalization, should undergo post discharge outpatient clinical visits following a precise timing [ 1 ]. However, studies highlight that missed outpatient clinical appointments are common [ 5 , 6 ]. This fact could be partially explained by the difficulty of reaching the medical examination due to health or logistic problems, such as forgetting appointments or administrative errors [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Cardiovascular deaths increased by 8%, with a 23% rise in HF related deaths [ 19 ]. However, the number of patients’ medical examinations has declined, likely due to fear and social restrictions, and a paradoxical reduction in HF hospitalization rates was observed [ 6 , 7 , 8 ]. In Italy, a decrease of 49% in acute HF hospital admissions from February to April 2020 was recorded compared with the same period in 2019 [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up

Severino

D’Amato

Prosperi

et al. 2022

JCM

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Background: Heart failure (HF) patients are predisposed to recurrences and disease destabilizations, especially during the COVID-19 outbreak period. In this scenario, telemedicine could be a proper way to ensure continuous care. The purpose of the study was to compare two modalities of HF outpatients’ follow up, the traditional in-person visits and telephone consultations, during the COVID-19 pandemic period in Italy. Methods: We conducted an observational study on consecutive HF outpatients. The follow up period was 12 months, starting from the beginning of the COVID-19 Italy lockdown. According to the follow up modality, and after the propensity matching score, patients were divided into two groups: those in G1 (n = 92) were managed with traditional in-person visits and those in G2 (n = 92) were managed with telephone consultation. Major adverse cardiovascular events (MACE) were the primary endpoints. Secondary endpoints were overall mortality, cardiovascular death, cardiovascular hospitalization, and hospitalization due to HF. Results: No significant differences between G1 and G2 have been observed regarding MACE (p = 0.65), cardiovascular death (p = 0.39), overall mortality (p = 0.85), hospitalization due to acute HF (p = 0.07), and cardiovascular hospitalization (p = 0.4). Survival analysis performed by the Kaplan–Meier method also did not show significant differences between G1 and G2. Conclusions: Telephone consultations represented a valid option to manage HF outpatients during COVID-19 pandemic, comparable to traditional in-person visits.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up

Severino

D’Amato

Prosperi

et al. 2022

JCM

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“…In total, 59 articles met the criteria for inclusion (Table S2 ). 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , …”

Section: Resultsunclassified

Influence of Social Determinants of Health on Heart Failure Outcomes: A Systematic Review

Enard

Coleman

Yakubu

et al. 2023

JAHA

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Background Prior research suggests an association between clinical outcomes in heart failure (HF) and social determinants of health (SDoH). Because providers should identify and address SDoH in care delivery, we evaluated how SDoH have been defined, measured, and evaluated in studies that examine HF outcomes. Methods and Results Following Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines, databases were searched for observational or interventional studies published between 2009 and 2021 that assessed the influence of SDoH on outcomes. Selected articles were assessed for quality using a validated rating scheme. We identified 1373 unique articles for screening; 104 were selected for full‐text review, and 59 met the inclusion criteria, including retrospective and prospective cohort, cross‐sectional, and intervention studies. The majority examined readmissions and hospitalizations (k=33), mortality or survival (k=29), and success of medical devices and transplantation (k=8). SDoH examined most commonly included race, ethnicity, age, sex, socioeconomic status, and education or health literacy. Studies used a range of 1 to 9 SDoH as primary independent variables and 0 to 7 SDoH as controls. Multiple data sources were employed and frequently were electronic medical records linked with national surveys and disease registries. The effects of SDoH on HF outcomes were inconsistent because of the heterogeneity of data sources and SDoH constructs. Conclusions Our systematic review reveals shortcomings in measurement and deployment of SDoH variables in HF care. Validated measures need to be prospectively and intentionally collected to facilitate appropriate analysis, reporting, and replication of data across studies and inform the design of appropriate, evidence‐based interventions that can ameliorate significant HF morbidity and societal costs.

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“…Based on our findings, patients experience higher levels of emotional dysregulation and associated treatment burden when interfacing with the healthcare system (e.g., lab testing, scheduling/waiting at provider appointments), performing self-management tasks (e.g., monitoring blood sugars), within their social relationships (e.g., feeling like a burden to others), and the burden of constantly needing care due to their conditions as compared to specific medication, exercise, and dietary related burden. These associations suggest that patients are at risk for lower adherence from the burden of attending provider appointments (Distelhorst et al, 2018;Horstmann et al, 2010;Schectman et al, 2008), poor self-monitoring (Crowe et al, 2017;Henderson et al, 2014;Tucker et al, 2017), and strained social relationships (Gallant, 2003;Meek et al, 2018), all of which can lead to worsening health outcomes. Indirectly, these associations could contribute to a feeling of greater total treatment burden further decreasing adherence to other critical self-management (e.g., medication, exercise, and diet) tasks (Schreiner et al, 2020a).…”

Section: Discussionmentioning

confidence: 99%

Examining the Association between Emotional Dysregulation and Treatment Burden

et al. 2021

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Treatment burden contributes to suboptimal adherence and lower health-related quality of life among people diagnosed with chronic conditions, but little is known about how the psychological process of emotional dysregulation influences treatment burden. To explore this relationship, we conducted a descriptive, cross-sectional study comprised of 149 men and women diagnosed with one or more Centers for Medicare and Medicaid Systems defined chronic conditions recruited from a single primary care setting. Multivariate analyses demonstrated emotional dysregulation as an independent factor contributing to total ( p < .001), medication ( p = .007), and dietary ( p < .001) treatment burden, with model effect sizes ranging from large (.43) to moderate (.21), controlling for other known antecedent factors of treatment burden. Emotional dysregulation was not a factor contributing to exercise related treatment burden. Our findings indicated emotional dysregulation as an important factor contributing to higher levels of total, medication, and dietary treatment burden associated with daily self-management regimens.

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Factors Associated With Adherence to 14-Day Office Appointments After Heart Failure Discharge

Cited by 10 publications

References 11 publications

Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up

Clinical Support through Telemedicine in Heart Failure Outpatients during the COVID-19 Pandemic Period: Results of a 12-Months Follow Up

Influence of Social Determinants of Health on Heart Failure Outcomes: A Systematic Review

Examining the Association between Emotional Dysregulation and Treatment Burden

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