Precipitating factors and clinical impact of early rehospitalization for heart failure in patients with heart failure in Awaji Island, Japan

Fujimoto, Wataru; Konishi, Akihide; Iwasaki, Masanori; Toh, Ryuji; Shinohara, Masakazu; Hamana, Tomoyo; Kuroda, Koji; Hatani, Yutaka; Yamashita, Soichiro; Imanishi, Junichi; Inoue, Tatsuo; Okamoto, Hiroshi; Okuda, Mitsuru; Hayashi, Takatoshi; Hirata, Ken–ichi

doi:10.1016/j.jjcc.2020.12.014

Cited by 6 publications

(3 citation statements)

References 29 publications

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“… 9 At this time, medical staff cannot monitor the volume status of patients in real time after discharge, resulting in aggravation of the patients’ condition due to the failure to correct the volume imbalance in time, which is also an important reason for the repeated hospitalizations of most patients with HF. 10 …”

Section: Introductionmentioning

confidence: 99%

“…9 At this time, medical staff cannot monitor the volume status of patients in real time after discharge, resulting in aggravation of the patients' condition due to the failure to correct the volume imbalance in time, which is also an important reason for the repeated hospitalizations of most patients with HF. 10 Based on the above situation, we should now consider whether there is a method to accurately, efficiently, and continuously record the I&O of patients with HF. Can the water in food be automatically calculated with the help of a smartphone app similar to apps that can calculate the calories in food?…”

Section: Introduction Backgroundmentioning

confidence: 99%

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A Smart-Phone App for Fluid Balance Monitoring in Patients with Heart Failure: A Usability Study

Shen¹,

Zhang²,

Yang³

et al. 2022

PPA

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Background For a long time, fluid balance monitoring has been one of the most difficult problems in the management of patients with heart failure (HF). There is considerable interest in technology-facilitated fluid balance monitoring. However, little is known about patient acceptance and the use of mobile technology for fluid balance monitoring. Objective The aim of this study was to develop a mobile app for technology-facilitated fluid balance monitoring and to determine its usability. Methods A mixed-methods study was conducted in a tertiary hospital in Shanghai, China. A mobile app named I-Self-Care was developed through a best practice implementation project. Patients and nurses both completed the System Usability Scale (SUS, 0–100) and participated in semistructured interviews. Results I-Self-Care includes patients’ daily fluid intake and output (I&O), symptoms, hospitalization, and diuretic records. It can automatically calculate food water content and perform real-time analysis of I&O. The average SUS scores were 81.74 (SD 5.44) among 36 patients and 80.80 (SD 13.26) among 28 nurses (scale 0–100, with 100 being the best usability), which means that I-Self-Care has high usability for both patients and nurses. Semistructured interviews about the usability of the app were conducted with 17 participants. During the interviews, the patients expressed the high ease of use of I-Self-Care, their expectations for a continuously updated database, and improved self-management behaviour. The nurses thought that family support and repeated operation demonstrations were needed for patients to use the app. The nurses also expressed the convenience of this app for nursing work and the information security of patients. Conclusion With participant feedback, we confirmed the usability of I-Self-Care for fluid balance monitoring in patients with HF. Continuously updated databases, family support, repeated operation demonstrations, and information security are important for HF patients to use I-Self-Care.

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Section: Introductionmentioning

confidence: 99%

Section: Introduction Backgroundmentioning

confidence: 99%

A Smart-Phone App for Fluid Balance Monitoring in Patients with Heart Failure: A Usability Study

Shen¹,

Zhang²,

Yang³

et al. 2022

PPA

View full text Add to dashboard Cite

show abstract

“…Although evidence-based medication improved the long-term prognosis of patients with HF until the 2000s (3), the one-year mortality rate remained high and relatively unchanged over the last decade (4). In addition, the complication of a high re-hospitalization rate after discharge (5,6) constitutes a burden on the healthcare system.…”

Section: Introductionmentioning

confidence: 99%

Differences in Prognostic Factors among Patients Hospitalized for Heart Failure According to the Age Category: From the KUNIUMI Registry Acute Cohort

et al. 2022

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Objective Previous studies have described several prognostic factors for heart failure (HF); however, these results were derived from registries consisting of conventional age groups, which might not represent the increasingly aging society. The present study explored the prognostic factors for all-cause death in hospitalized patients with HF across different age categories using an acute HF registry that included relatively old patients. Methods From a total of 1,971 consecutive patients with HF, 1,136 patients were enrolled. We divided the patients into 4 groups (! 65, 66-75, 76-85, and >85 years old) to evaluate all-cause death and prognostic factors of all-cause death. Results During the mean follow-up period of 1,038 days, 445 patients (39.2%) had all-cause death. A Kaplan-Meier analysis demonstrated significantly higher incidence of all-cause death in the elderly groups than in the younger groups (log-rank p<0.001). A Cox proportional-hazard regression analysis revealed that the presence of atrial fibrillation [hazard ratio (HR): 23.3, 95% confidence interval (CI): 2.36-231.1, p=0.007] was a notable predictive factor for all-cause death in the ! 65 years old group, whereas the Clinical Frailty Scale score (HR: 1.33, 95% CI: 1.16-1.52, p<0.001) and hypoalbuminemia (HR: 0.49, 95% CI: 0.31-0.78, p= 0.003) were predictors in the >85 years old group. Conclusions Atrial fibrillation was a notable predictor of HF in young patients, whereas frailty and lowgrade albuminemia were essential predictive factors of HF in elderly patients. With the increasing number of elderly patients with HF, comprehensive multidisciplinary treatment will be necessary.

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Clinical and prognostic implications of hyaluronic acid in hospitalized patients with heart failure

et al. 2023

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Precipitating factors and clinical impact of early rehospitalization for heart failure in patients with heart failure in Awaji Island, Japan

Cited by 6 publications

References 29 publications

A Smart-Phone App for Fluid Balance Monitoring in Patients with Heart Failure: A Usability Study

A Smart-Phone App for Fluid Balance Monitoring in Patients with Heart Failure: A Usability Study

Differences in Prognostic Factors among Patients Hospitalized for Heart Failure According to the Age Category: From the KUNIUMI Registry Acute Cohort

Clinical and prognostic implications of hyaluronic acid in hospitalized patients with heart failure

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