Team-based Care for Advanced Heart Failure

Wever-Pinzon, Omar; Drakos, Stavros G.; Fang, James C.

doi:10.1016/j.hfc.2015.03.009

Cited by 29 publications

(15 citation statements)

References 44 publications

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“…Heart failure consists a chronic clinical syndrome that involves various problems in everyday life of patients, mainly attributed to the cognitive and physical impairment that accompanies the disease. Moreover, heart failure implies family, social and economic consequences that exert a negative impact on the outcome of the disease as well as on patients’ quality of life ( Polikandrioti et al, 2015 ; Wever-Pinzon, Drakos, & Fang, 2015 ; Polikandrioti et al, 2010 ; Polikandrioti, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Association Between Characteristics of Hospitalized Heart Failure Patients With Their Needs

Polikandrioti¹,

Goudevenos²,

Michalis³

et al. 2015

GJHS

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Introduction:During recent years that life expectancy of heart failure patients has been increased, health professionals put more emphasis on assessing their needs in daily clinical practice. The aim of the present study was to explore the association between characteristics of hospitalized heart failure patients with their needs.Methods:A sample of 190 hospitalized patients with HF, recruited from public hospitals in Greece, was enrolled in the study. Data were collected by the completion of a questionnaire which included socio-demographic and clinical characteristics and the questionnaire “Needs of hospitalized patients with coronary artery disease” which is consisted of 6 subscales. Statistical methods used were Kruskal wallis-test or Mann-Whitney test and Spearmans’ rho coefficient. Multiple regression analysis was performed in order to evaluate the association between patients’ characteristics and the significance of their needs.Results:124 (65.3%) of hospitalized heart failure participants were men and 89 (46.8%) of participants were more than 70 years old. 145 (76.3%) had prior experience of hospitalization due to heart failure. The need for support and guidance was statistically significantly associated with the degree of information, (p=<0.001). The need for information from the medical and nursing staff was significantly associated with marital status and degree of information (p=0.001 and p<0.001 respectively). The need for need for being in contact with other patient groups, and ensuring communication with relatives was statistically significantly associated with the professional status and degree of information, (p=0.037 and p=<0.001 respectively). The need for individualized treatment and the need for patient’s personal participation to his/her treatment as well as the need to meet the emotional and physical needs were statistically significant associated with the degree of information, (p=<0.001, p=<0.001 respectively). Lastly, the need to trust the medical and nursing staff was statistically significantly associated with the place of residence and the degree of information, (p=0.023 and p<0.001). These results were confirmed by the multiple linear regression after controlling for potential confounders.Conclusions:Information seems to be of vital importance when assessing the needs of heart failure patients. Therefore, providing elaborate information should be an integral part of their therapeutic regimen.

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Section: Introductionmentioning

confidence: 99%

Association Between Characteristics of Hospitalized Heart Failure Patients With Their Needs

Polikandrioti¹,

Goudevenos²,

Michalis³

et al. 2015

GJHS

View full text Add to dashboard Cite

show abstract

“…The inclusion of information related to outpatient follow-up may provide a valuable insight on potential preventability of inpatient hospitalisations and subsequent readmissions associated to patient with HF. While some authors report that siloed and fragmented care hinders the goal of reducing HF admissions and subsequent rehospitalisations14 51 others suggest that early follow-up after discharge, multidisciplinary disease management, promotion of patient self-care literacy and same-day access clinics for outpatient intravenous diuresis are effective in reducing admissions for HF 33 52–55…”

Section: Discussionmentioning

confidence: 99%

One-year rehospitalisations for congestive heart failure in Portuguese NHS hospitals: a multilevel approach on patterns of use and contributing factors

et al. 2019

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ObjectivesIdentification of rehospitalisations for heart failure and contributing factors flags health policy intervention opportunities designed to deliver care at a most effective and efficient level. Recognising that heart failure is a condition for which timely and appropriate outpatient care can potentially prevent the use of inpatient services, we aimed to determine to what extent comorbidities and material deprivation were predictive of 1 year heart failure specific rehospitalisation.SettingAll Portuguese mainland National Health Service (NHS) hospitals.ParticipantsA total of 68 565 hospitalisations for heart failure principal cause of admission, from 2011 to 2015, associated to 45 882 distinct patients aged 18 years old or over.Outcome measuresWe defined 1 year specific heart failure rehospitalisation and time to rehospitalisation as outcome measures.ResultsHeart failure principal diagnosis admissions accounted for 1.6% of total hospital NHS budget, and over 40% of this burden is associated to patients rehospitalised at least once in the 365-day follow-up period. 22.1% of the patients hospitalised for a principal diagnosis of heart failure were rehospitalised for the same cause at least once within 365 days after previous discharge. Nearly 55% of rehospitalised patients were readmitted within 3 months. Results suggest a mediation effect between material deprivation and the chance of 1 year rehospitalisation through the effect that material deprivation has on the prevalence of comorbidities. Heart failure combined with chronic kidney disease or chronic obstructive pulmonary disease increases by 2.8 and 2.2 times, respectively, the chance of the patient becoming a frequent user of inpatient services for heart failure principal cause of admission.ConclusionsOne-fifth of patients admitted for heart failure are rehospitalised due to heart failure exacerbation. While the role of material deprivation remained unclear, comorbidities considered increased the chance of 1 year heart failure specific rehospitalisation, in particular, chronic kidney disease and chronic obstructive pulmonary disease.

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“…Squares represent the mean difference (MD) in individual trials with the width of the line representing the 95% confidence interval (CI). Most advanced HF centres caring for LVAD patients have designated endocrinologists and nutritionists as part of their multidisciplinary program, 35 which have been shown to improve diabetes control in general populations. implantation, the observed glycaemic profile improvements may not be the result of weight loss due to increased physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…34 The changes could also reflect the more frequent and co-ordinated care of these patients. Most advanced HF centres caring for LVAD patients have designated endocrinologists and nutritionists as part of their multidisciplinary program, 35 which have been shown to improve diabetes control in general populations. 36 Changes in medication use could also play a role.…”

Section: Discussionmentioning

confidence: 99%

Left ventricular assist device implantation improves glycaemic control: a systematic review and meta‐analysis

et al. 2018

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Team-based Care for Advanced Heart Failure

Cited by 29 publications

References 44 publications

Association Between Characteristics of Hospitalized Heart Failure Patients With Their Needs

Association Between Characteristics of Hospitalized Heart Failure Patients With Their Needs

One-year rehospitalisations for congestive heart failure in Portuguese NHS hospitals: a multilevel approach on patterns of use and contributing factors

Left ventricular assist device implantation improves glycaemic control: a systematic review and meta‐analysis

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