Characteristics and treatment of patients with heart failure in the emergency department

Welsh, John; Heiser, Regina M.; Schooler, Mary P.; Brockopp, Dorothy; Parshall, Mark B.; Cassidy, Karma B.; Saleh, Usama

doi:10.1067/men.2002.123074

Cited by 45 publications

(41 citation statements)

References 9 publications

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“…The result is congruent with the previous research findings. 24,31,39 Our findings emphasized that knowledge about medication must be based on each person's individual needs.…”

Section: Discussionmentioning

confidence: 75%

Factors influencing medication adherence in patients with heart failure

Moser

Lennie

et al. 2008

Heart & Lung

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“…The result is congruent with the previous research findings. 24,31,39 Our findings emphasized that knowledge about medication must be based on each person's individual needs.…”

Section: Discussionmentioning

confidence: 75%

Factors influencing medication adherence in patients with heart failure

Moser

Lennie

et al. 2008

Heart & Lung

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“…86 Without enough social support, it is difficult for this group of patients to adhere to their medications. 5,80,85,86,99 A number of factors thought to influence medication adherence did not. For example, gender, 6, 8, 14, 100 age, 6, 8, 10, 13, 14, 16, 100 comorbidity, 100 number of pills taken per day, 13, 79, 81 frequency of medication, 48, 101 and education 6, 16, 102, 103 were not related to medication adherence and these findings contradict results from earlier studies.…”

Section: Discussionmentioning

confidence: 95%

Predictors of Medication Adherence Using a Multidimensional Adherence Model in Patients With Heart Failure

Moser

Chung

et al. 2008

Journal of Cardiac Failure

171

118

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“…Symptom exacerbation is the most common cause of HF related hospitalisation. Characteristic signs and symptoms such as breathlessness, fatigue and oedema are a daily struggle for people living with HF, and represent the most common reasons for presenting to emergency departments (ED) [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Worsening symptoms are frequently noted as the main reasons for seeking professional care [1][2][3][4], however, over 50% of patients delay seeking help when these signs and symptoms manifest, to the point of requiring emergency medical attention [3].…”

Section: Introductionmentioning

confidence: 99%

Care-seeking decisions for worsening symptoms in Heart Failure: a qualitative metasynthesis

Ivynian

DiGiacomo

Jha

et al. 2015

Heart, Lung and Circulation

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Purpose: Over 50% of heart failure (HF) patients delay seeking help for worsening symptoms until these reach acute levels and require emergency hospitalisation. This metasynthesis aimed to identify and explore factors influencing timely care-seeking in patients with HF.Methods: Electronic databases searched were Medline, EMBASE and CINAHL. Studies were included if they were peer reviewed journal articles written in English, and reported perspectives of HF patients following qualitative data collection and analysis. Forty articles underwent analysis following the approach of Thomas and Harden. Leventhal's self-regulatory model (SRM) was used to organise the literature.Results: Much of the literature fit within the SRM, however this model did not account for all factors that influence patients' care-seeking for worsening symptoms. Factors not accounted for included patients' appraisals of previous care-seeking experiences, perceived system and provider barriers to accessing care, and the influence of external appraisals. When added to factors already represented in the model, such as misattribution of symptoms, not identifying with HF diagnosis, cognitive status, lack of understanding information provided, adaptation to symptoms, and emotional responses, a more comprehensive account of patients' decision-making was revealed.Implications: This metasynthesis identified factors, as yet unaccounted for, in a prominent model, and has suggested a more comprehensive framework for addressing care-seeking in HF patients. This information can be used to tailor education, communication, and service initiatives to improve HF patients' responses to worsening symptoms, and target those most at risk of delay.

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Characteristics and treatment of patients with heart failure in the emergency department

Cited by 45 publications

References 9 publications

Factors influencing medication adherence in patients with heart failure

Factors influencing medication adherence in patients with heart failure

Predictors of Medication Adherence Using a Multidimensional Adherence Model in Patients With Heart Failure

Care-seeking decisions for worsening symptoms in Heart Failure: a qualitative metasynthesis

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