Progress in heart failure management in the Netherlands and beyond: long-term commitment to deliver high-quality research and patient care

Meems, L. M. G.; Veldhuisen, Dirk J. van; Boer, Rudolf A. de

doi:10.1007/s12471-020-01453-7

Cited by 5 publications

(4 citation statements)

References 60 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 20 , 21 To ensure systematic and coordinated treatments, DMPs for HF have been implemented on a national level. 22 These cover care in hospitals, outpatient clinics or at home. 23 , 24 More recently, the Connect programme aims at implementing agreements across primary, secondary and tertiary care at regional levels to improve HF-care.…”

Section: Resultsmentioning

confidence: 99%

Challenges in heart failure care in four European countries: a comparative study

Steiner,

Neumann,

Pelz

et al. 2023

European Journal of Public Health

View full text Add to dashboard Cite

Background In Europe, more than 15 million people live with heart failure (HF). It imposes an enormous social, organizational and economic burden. As a reaction to impending impact on healthcare provision, different country-specific structures for HF-care have been established. The aim of this report is to provide an overview and compare the HF-care approaches of Germany, Ireland, the Netherlands and the UK, and to open the possibility of learning from each other’s experience. Methods A mixed methods approach was implemented that included a literature analysis, interviews and questionnaires with HF-patients and caregivers, and expert interviews with representatives from healthcare, health service research and medical informatics. Results The models of HF-care in all countries analyzed are based on the European Society of Cardiology guidelines for diagnosis and treatment of HF. Even though the HF-models differed in design and implementation in practice, key challenges were similar: (i) unequal distribution of care between urban and rural areas, (ii) long waiting times, (iii) unequal access to and provision of healthcare services, (iv) information and communication gaps and (v) inadequate implementation and financing of digital applications. Conclusion Although promising approaches exist to structure and improve HF-care, across the four countries, implementation was reluctant to embrace novel methods. A lack of financial resources and insufficient digitalization making it difficult to adopt new concepts. Integration of HF-nurses seems to be an effective way of improving current models of HF-care. Digital solutions offer further opportunities to overcome communication and coordination gaps and to strengthen self-management skills.

show abstract

Section: Resultsmentioning

confidence: 99%

Challenges in heart failure care in four European countries: a comparative study

Steiner,

Neumann,

Pelz

et al. 2023

European Journal of Public Health

View full text Add to dashboard Cite

show abstract

“…Despite therapeutic advances and ongoing research, advanced heart failure remains associated with frequent hospital admissions, poor prognosis and high costs [1][2][3]. As patients with advanced heart failure often suffer pronounced functional decline and poor quality of life, they could benefit from palliative care [4].…”

Section: Introductionmentioning

confidence: 99%

A pilot study on the effect of advance care planning implementation on healthcare utilisation and satisfaction in patients with advanced heart failure

Coster

Maat

Pentinga³

et al. 2022

Neth Heart J

Self Cite

View full text Add to dashboard Cite

Background Patients with advanced heart failure may benefit from palliative care, including advance care planning (ACP). ACP, which can include referral back to the general practitioner (GP), may prevent unbeneficial hospital admissions and interventional/surgical procedures that are not in accordance with the patient’s personal goals of care. Aim To implement ACP in patients with advanced heart failure and explore the effect of ACP on healthcare utilisation as well as the satisfaction of patients and cardiologists. Methods In this pilot study, we enrolled 30 patients with New York Heart Association class III/IV heart failure who had had at least one unplanned hospital admission in the previous year because of heart failure. A structured ACP conversation was held and documented by the treating physician. Primary outcome was the number of visits to the emergency department and/or admissions within 3 months after the ACP conversation. Secondary endpoints were the satisfaction of patients and cardiologists as established by using a five-point Likert scale. Results Median age of the patients was 81 years (range 33–94). Twenty-seven ACP documents could be analysed (90%). Twenty-one patients (78%) did not want to be readmitted to the hospital and subsequently none of them were readmitted during follow-up. Twenty-two patients (81%) discontinued all hospital care. All patients who died during follow-up (n = 12, 40%) died at home. Most patients and cardiologists indicated that they would recommend the intervention to others (80% and 92% respectively). Conclusion ACP, and subsequent out-of-hospital care by the GP, was shown to be applicable in the present study of patients with advanced heart failure and evident palliative care needs. Patients and cardiologists were satisfied with this intervention.

show abstract

“…2 Treatment modalities may also play a contributing role, for example, the administration of diuretics. 5 Electrolyte imbalances have a high impact on mortality in patients with ACS. 6,7 Hyponatremia, hypokalemia, and hypomagnesemia were observed in patients with ACS.…”

mentioning

confidence: 99%

“…Electrolyte imbalances are the result of complex neurohormonal changes that occur in ACS, related to the activation of the renin-angiotensin-aldosterone system, the release of atrial natriuretic peptide, release of antidiuretic hormones, and sympathetic stimulation, and are related to the diseases, treatment(s), complications, and other clinical conditions 2. Treatment modalities may also play a contributing role, for example, the administration of diuretics 5. Electrolyte imbalances have a high impact on mortality in patients with ACS 6,7.…”

mentioning

confidence: 99%

Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Dreidi

Asmar

Jaghama

et al. 2023

Critical Care Nursing Quarterly

View full text Add to dashboard Cite

Electrolytes imbalances are highly prevalent and have shown a high impact on mortality in patients with acute myocardial infarction. These electrolytes imbalance have prognostic value in predicting mortality in patients with acute myocardial infarction. The purpose of this study was to assess the prognostic value of electrolyte imbalances in predicting 1-month mortality among patients with myocardial infarction with and with no ST-elevation. This cohort study was conducted in a referral hospital in the West Bank, Palestine. All patients with confirmed medical diagnosis of acute myocardial infarction and admitted to the medical coronary care unit in the hospital were eligible participants. A convenience sample of 186 participants was obtained. These participants were followed up for 1 month to assess their survival (alive or dead). Demographic and clinical data were recorded by reviewing their health records. The derived data were analyzed using SPSS version 19. About 36% of all patients were found to be hyponatremic, 15% of them have hypokalemia, and 9% of patients had hypocalcemia. There was a significant difference between STEMI and non-STEMI in sodium (t = 4.7, P < .001). A multivariate logistic regression analysis was performed to predict 1-month mortality for patients with myocardial infarction with and with no ST-elevation. The predictors that were found to be significant are sodium (odds ratio [OR] = 0.789, P = .010), calcium (OR = 0.221, P = .014), diastolic blood pressure (OR = 0.933, P = .047), and blood urea nitrogen (OR = 0.821, P = .005). Electrolyte imbalance was highly prevalent among patients with acute myocardial infarction. Hyponatremia and hypocalcemia were present and associated significantly with predicting 1-month mortality. Health care providers should take into consideration the electrolytes of patients with acute myocardial infarction from the first moment of admission and correct them early to maximize the clinical outcomes and survival for patients.

show abstract

Progress in heart failure management in the Netherlands and beyond: long-term commitment to deliver high-quality research and patient care

Cited by 5 publications

References 60 publications

Challenges in heart failure care in four European countries: a comparative study

Challenges in heart failure care in four European countries: a comparative study

A pilot study on the effect of advance care planning implementation on healthcare utilisation and satisfaction in patients with advanced heart failure

Electrolyte Imbalance Among Patients With and With No ST-Elevation Myocardial Infarction

Contact Info

Product

Resources

About