Effect of Moderate or Intensive Disease Management Program on Outcome in Patients With Heart Failure&lt;subtitle&gt;Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH)&lt;/subtitle&gt;

Jaarsma, Tiny; Wal, Martje H. L. van der; Lesman‐Leegte, Ivonne; Luttik, Marie-Louise; Hogenhuis, Jochem; Veeger, Nic; Sanderman, Robbert; Hoes, Arno W.; Gilst, Wiek H. van; Lok, Dirk J.; Dunselman, Peter H.J.M.; Tijssen, Jan G.P.; Hillege, Hans L.; Veldhuisen, Dirk J. van

doi:10.1001/archinternmed.2007.83

Cited by 457 publications

(365 citation statements)

References 23 publications

Supporting

Mentioning

340

Contrasting

Unclassified

Order By: Relevance

“…48 Cowie and colleagues' findings concur with other research on the effect of multidisciplinary teams (MDTs) which demonstrate that when best practice is operationalised there may not be a need for additional services. 49 Whilst technology may assist in the management of patients alongside best practice, it remains to be seen if there is a reduction in mortality, morbidity -and conversely an increase in quality of life -that can be solely assigned to the addition of technology. While the arguments in favour a technological intervention such as the monitoring of patients in their home is plausible, it is unclear if technology either promotes the resolution of symptoms and/or empowers the patient to self manage their condition or both.…”

Section: Discussionmentioning

confidence: 99%

Technology and its role in respiratory care

Smith

Elkin

Partridge

2009

Primary Care Respiratory Journal

View full text Add to dashboard Cite

Introduction: Telemonitoring, telemedicine, clinical and medical informatics or telecare, are terms used to describe the use of technology along with local clinical protocols to monitor remotely a patient's medical condition in their own home. In respiratory medicine, where large numbers of people have long term conditions such as asthma and chronic obstructive pulmonary disease (COPD), the role of such monitoring technology in the management of patients is of great interest.

show abstract

Section: Discussionmentioning

confidence: 99%

Technology and its role in respiratory care

Smith

Elkin

Partridge

2009

Primary Care Respiratory Journal

View full text Add to dashboard Cite

show abstract

“…This is in keeping with results of other studies of multidisciplinary interventions, with more recent studies suggesting lower impact as the quality of hospital care improves, particularly in centres interested in heart failure management. 27 . Patients hospitalized (heart failure), n (%) 10 (11) 17 (19) Number of hospitalizations (heart failure) 16 22 Duration of hospitalization for heart failure, median (IQR) 9 (7-33) 17 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) 0.62…”

Section: Limitationsmentioning

confidence: 99%

A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home‐HF study

Dar

Riley

Chapman

et al. 2009

European J of Heart Fail

123

217

View full text Add to dashboard Cite

Aims Heart failure chiefly affects the elderly, with frequent emergency admissions. Telemonitoring can identify worsening heart failure but previous randomized trials have enrolled selected patient populations. The Home‐HF study examined the impact of home telemonitoring on typical heart failure patients discharged from three acute hospitals in North West London, UK. Methods and results Patients hospitalized with heart failure were randomized to telemonitoring or usual specialist care. Primary outcome measures were days alive and out of hospital. Secondary outcome measures were number and duration of heart failure hospitalizations, clinic visits, and quality of life. We recruited 182 patients. There was no difference in the primary outcome measure in the two groups, but there were significantly fewer unplanned hospitalizations for heart failure decompensation, and a reduction in clinic and emergency room visits in the telemonitoring group. There was no statistically significant difference in the mean direct health service costs. Conclusion Home telemonitoring in a typical elderly population of heart failure patients produces a similar outcome to ‘usual’ specialist care, but reduces clinic and emergency room visits and unplanned heart failure rehospitalizations at little additional cost. This method of disease monitoring may allow specialist services to increase the number of patients under their care.

show abstract

“…Data were combined from the studies of Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH) and the Singapore Heart Failure Outcomes and Phenotypes (SHOP) 14, 15, 16…”

Section: Methodsmentioning

confidence: 99%

“…Overall, the results of the trial were neutral 14. NT‐proBNP measurements were available in a sub‐cohort of 546 Caucasian patients measured at discharge (see Supporting Information, Figure S1 ).…”

Section: Methodsmentioning

confidence: 99%

N‐terminal pro‐B‐type natriuretic peptide and prognosis in Caucasian vs. Asian patients with heart failure

et al. 2018

Self Cite

View full text Add to dashboard Cite

AimsN‐terminal pro‐B‐type natriuretic peptide (NT‐proBNP) is the most frequently used biomarker in heart failure (HF), but its prognostic utility across ethnicities is unclear.Methods and resultsThis study included 546 Caucasians with HF from the Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure and 578 Asians with HF from the Singapore Heart Failure Outcomes and Phenotypes study. NT‐proBNP was measured at discharge after HF hospitalization. The studied outcome was a composite of all‐cause mortality and HF hospitalization at 18 months. Compared with Caucasian patients, Asian patients were younger (63 ± 12 vs. 71 ± 11 years); less often female (26% vs. 39%); and had lower body mass index (26 vs. 27 kg/m2), better renal function (61 ± 37 vs. 54 ± 20 mL/min/1.73 m2), lower rates of atrial fibrillation (25% vs. 46%), strikingly higher rates of diabetes (59% vs. 30%), and higher rates of hypertension (76% vs. 44%). Despite these clear inter‐group differences in individual drivers of NT‐proBNP, average levels were similar in Asians [2709 (1350, 6302) pg/mL] and Caucasians [2545 (1308, 5484) pg/mL] (P = 0.514). NT‐proBNP was strongly associated with outcome [hazard ratio 1.28 (per doubling), 95% confidence interval 1.18–1.39, P < 0.001], regardless of ethnicity (P interaction = 0.719). NT‐proBNP was similarly associated with outcome in HF with reduced and preserved ejection fraction in Asian (P interaction = 0.776) and Caucasian patients (P interaction = 0.558).ConclusionsNT‐proBNP has similar prognostic performance in Asians and Caucasians with HF despite ethnic differences in known clinical determinants of plasma NT‐proBNP.

show abstract

Effect of Moderate or Intensive Disease Management Program on Outcome in Patients With Heart Failure<subtitle>Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH)</subtitle>

Cited by 457 publications

References 23 publications

Technology and its role in respiratory care

Technology and its role in respiratory care

A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home‐HF study

N‐terminal pro‐B‐type natriuretic peptide and prognosis in Caucasian vs. Asian patients with heart failure

Contact Info

Product

Resources

About