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Titolo:
Prospective evaluation of an outpatient heart failure management program
Autore:
Hershberger, RE; Ni, HY; Nauman, DJ; Burgess, D; Toy, W; Wise, K; Dutton, D; Crispell, K; Vossler, M; Everett, J;
Indirizzi:
Oregon Hlth Sci Univ, Div Cardiol, Heart Failure Treatment Program, OregonHeart Failure Project, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 roject, Portland, OR 97201 USA Oregon Hlth Sci Univ, Dept Med Informat & Outcomes Res, Portland, OR 97201USA Oregon Hlth Sci Univ Portland OR USA 97201 mes Res, Portland, OR 97201USA
Titolo Testata:
JOURNAL OF CARDIAC FAILURE
fascicolo: 1, volume: 7, anno: 2001,
pagine: 64 - 74
SICI:
1071-9164(200103)7:1<64:PEOAOH>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL OUTCOMES; PRIMARY-CARE; READMISSION; CARDIOLOGY; MORBIDITY; MORTALITY;
Keywords:
heart failure; outcomes; disease management;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Hershberger, RE Oregon Hlth Sci Univ, Div Cardiol, Heart Failure TreatmentProgram, OregonHeart Failure Project, UHN-62,3181 SW Sam Jackson Pk Rd, Portland, OR 97201 USA Oregon Hlth Sci Univ UHN-62,3181 SW Sam Jackson Pk Rd Portland OR USA 97201
Citazione:
R.E. Hershberger et al., "Prospective evaluation of an outpatient heart failure management program", J CARD FAIL, 7(1), 2001, pp. 64-74

Abstract

Background: Although considerable effort has been devoted to the follow-upof hospitalized patients, the effectiveness and process of heart failure outpatient management have not been well demonstrated. Methods and Results: All new patients referred to the program from April 1997 to September 1998 were followed and managed by comprehensive strategiesincluding preemptive hospitalization. Quality of life (QOL) and patients' self-care adherence behaviors were measured at baseline, 3 months, and 6 months. Clinical outcomes were compared for the 6 months before and 6 months after referral. A total of 108 patients were recruited. Patients' self-cart: knowledge score was improved over time (difference score = 0.9, P < .01). The proportion of patients weighing themselves daily increased by 24% (P =.02). The proportion of patients with New York Heart Association (NYHA) class III to IV was 67.6% at baseline and 49.1% at 6 months (P = .01). Compared with 6 months before referral, the program intervention was accompanied by a 52% reduction in the risk of hospitalization for cardiovascular causes(56.1% v 27.2%. P < .001) and a 72% reduction in emergency room visits (53.6% v 14.5%, P < .01). The total hospital admissions for cardiovascular causes decreased by 59% from 94 to 39; the total emergency room visits decreased by 77% from 83 to 19. The patients' QOL was improved over rime with a change score of 11.2 (P < .001) at 3 months and 10.7 (P < .001) at 6 months. Conclusion: Our study shows the effectiveness of this heart failure outpatient management program.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:43:48