A Multi-Site Thailand Heart Failure Snapshot Study

Tankumpuan, Thitipong; Sindhu, Siriorn; Perrin, Nancy; Commodore‐Mensah, Yvonne; Budhathoki, Chakra; Padula, William V.; Himmelfarb, Cheryl Dennison; Davidson, Patricia M.

doi:10.1016/j.hlc.2021.07.010

Cited by 3 publications

(2 citation statements)

References 34 publications

(53 reference statements)

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“…In terms of hospitalization outcomes, around 30% of patients who were first admitted to the hospital were readmitted within 30 days after their discharge. This rehospitalization rate was higher than the 13.7% reported in the Thai HF Snapshot Study, which was done across five Thai universities and tertiary hospitals [20]. Moreover, our study showed a higher in-hospital mortality rate than other studies (11%).…”

Section: Discussioncontrasting

confidence: 77%

Real-World Heart Failure Burden in Thai Patients

Jiampo,

Tangkittikasem,

Boonyapiphat

et al. 2024

Cardiol Ther

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Introduction Heart failure (HF) is one of the leading causes of hospitalization worldwide. In Thailand, data on HF burden remains limited. This study aimed to describe comprehensive evidence detailing the HF prevalence, hospital admission rates, in-hospital mortality, and overall mortality rates at the hospital level. Method All eligible adult patients’ medical records from 2018 and 2019 were analyzed retrospectively at five hospitals in different regions. The patients were diagnosed with HF, as indicated by the International Classification of Diseases (ICD)-10 code I50. Descriptive statistics were used to examine the hospital burden as well as patients’ clinical and outcome data. Results A total of 7384 patients with HF were identified from five tertiary hospitals. Around half of the patients were male. The mean age was 67 years, and the main health insurance scheme was the Universal Coverage Scheme. The prevalence of HF was 0.1% in 2018 and 0.2% in 2019. Heart failure with preserved ejection fraction (HFpEF) was the most common type of HF in both visits, followed by heart failure with reduced ejection fraction (HFrEF) and heart failure with mildly reduced ejection fraction (HFmrEF). The proportion of HF hospitalizations was 1.2% in 2018 and 1.5% in 2019. The proportion of HF rehospitalizations versus hospitalizations in patients with HF was 22.7% in 2018 and 23.9% in 2019. The risk of rehospitalization was highest at 180 days after hospital discharge (87.8%). Among the patients with HF, the proportion of all-cause mortality was 9.1% in 2018 and 8.0% in 2019. Most of the deaths occurred within 30 days after hospitalization. Conclusion Our study demonstrated that the burden of HF in terms of hospitalization and in-hospital mortality was notably high when compared to similar studies conducted in Thailand and other countries. Supplementary Information The online version contains supplementary material available at 10.1007/s40119-024-00355-8.

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Section: Discussioncontrasting

confidence: 77%

Real-World Heart Failure Burden in Thai Patients

Jiampo,

Tangkittikasem,

Boonyapiphat

et al. 2024

Cardiol Ther

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“…We also found that 61.8% of the participants lived with their nuclear families, while 23.0% lived with their extended families. This could be because the structure of family in Thailand has changed from extended to nuclear family (living alone), which might impact the social support available to assist in self-care [ 21 ], especially in older adults.…”

Section: Discussionmentioning

confidence: 99%

Factors Predicting the Coronavirus Disease 2019 Preventive Behaviors of Older Adults: A Cross-Sectional Study in Bangkok, Thailand

Upake

Nanthamongkolchai

Taechaboonsermsak

et al. 2022

IJERPH

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The coronavirus disease 2019 (COVID-19) pandemic has affected the health behaviors of older adults. Thus, the factors predicting the COVID-19 preventive behaviors of older adults during the COVID-19 outbreak should be examined. Therefore, this study aimed to assess the COVID-19 preventive behaviors of older adults and explore the factors predicting these. A cross-sectional study was performed with 400 older adults who were selected using the cluster sampling technique. The associations of all variables in preventing COVID-19 infection with COVID-19 preventive behaviors were examined using stepwise multiple regression. The study results revealed that 70.8% of the study participants had high levels of COVID-19 preventive behaviors. Among these, self-efficacy in preventing COVID-19 infection (β = 0.224) showed the highest ability to predict COVID-19 preventive behaviors, followed by COVID-19 response efficacy (β = 0.171), knowledge about COVID-19 (β = 0.110), and gender (β = −0.102). Older adults adopted protective behaviors at the beginning of the COVID-19 pandemic. The predictors of these behaviors should be considered while designing and developing appropriate COVID-19 preventive behavior interventions, aimed at inducing behavioral modifications to reduce further infection with and spread of COVID-19.

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Achieving consensus on the key elements of a nurse‐led multidisciplinary chronic heart failure service in Thailand: An e‐Delphi study

Koontalay,

Botti,

Hutchinson

2024

Journal of Advanced Nursing

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AimsTo describe the outcomes of an e(electronic)‐Delphi survey used to achieve consensus on the essential elements that should be included in a multidisciplinary, nurse‐led service for patients with chronic heart failure (CHF).DesignThe study design was based on a three‐round e‐Delphi survey.MethodsA series of three survey rounds were used to gather expert opinions and achieve consensus on the key elements that should be included in a CHF disease management program from a sample of healthcare professionals and organizational leaders with expertise in existing CHF services. Consensus for each item was defined as at least 90% agreement.ResultsThere were 20 participants (18 healthcare professionals and 2 organizational leaders) in round‐1, 22 (20 healthcare professionals and 2 organizational leaders) in round‐2, and 17 (15 healthcare professionals and 2 organizational leaders) in round‐3. Fifteen participants attended a final online meeting (13 healthcare professionals and 2 organizational leaders). Consensus was obtained on five essential components: (i) consumer education, (ii) treatment optimization using a multidisciplinary approach, (iii) discharge planning, (iv) provision of supportive community care and (v) mechanisms to respond to early symptoms of decompensated CHF.ConclusionParticipants focused on mechanisms to improve treatment effectiveness, patient and family knowledge, communication between healthcare providers and supportive care in the community. The proposed model of care may be useful to other health service providers who are designing or adapting CHF models of care for the South‐East Asian environment.ImpactThis research provides a solid basis for using a Delphi method to resolve the challenges and issues of transferring global model‐based recommendations in CHF knowledge. The Delphi method proved successful as an important step in developing a culturally acceptable model of chronic care that meets the goals of local healthcare providers.

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A Multi-Site Thailand Heart Failure Snapshot Study

Cited by 3 publications

References 34 publications

Real-World Heart Failure Burden in Thai Patients

Real-World Heart Failure Burden in Thai Patients

Factors Predicting the Coronavirus Disease 2019 Preventive Behaviors of Older Adults: A Cross-Sectional Study in Bangkok, Thailand

Achieving consensus on the key elements of a nurse‐led multidisciplinary chronic heart failure service in Thailand: An e‐Delphi study

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