Clinical service organisation for heart failure

Takeda, Andrea; Taylor, Stephanie; Taylor, Rod S; Khan, Faisal; Krum, Henry; Underwood, Martin

doi:10.1002/14651858.cd002752.pub3

Cited by 184 publications

(170 citation statements)

References 144 publications

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“…Numerous studies have demonstrated the benefits of disease-management programmes on patient outcomes, with reported reductions in rates of readmission [139][140][141] and death after discharge, 141 and improvements in quality of life, 139,140 compared with usual care. Although the types of intervention differ across studies, with not all studies showing improved outcomes, 137 simple approaches such as early patient follow-up have been shown to be effective.…”

Section: Heart Failure Management Programmes For Patients Leaving Hosmentioning

confidence: 99%

Variability in use of IV nitrates and diuretics in acute HF: a ‘virtual patient’ clinical decision-making study

2018

Br J Cardiol

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Section: Heart Failure Management Programmes For Patients Leaving Hosmentioning

confidence: 99%

Variability in use of IV nitrates and diuretics in acute HF: a ‘virtual patient’ clinical decision-making study

2018

Br J Cardiol

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“…(6) With newer forms of HF management in home care or primary care or by telemonitoring, one wonders if there is still a place for HF clinics and if they suit the state of the health care, patients' wishes and costs. This is especially relevant, since a recent Cochrane analysis (7) concluded that although there is now good evidence that case management type interventions led by a HF specialist nurse improve outcomes in HF patients, they found it not possible to say that the HF clinic is superior to other forms of HF management. One might also argue that with the improving trends in the long-term prognosis after acute HF (3,5) with declining overall 1-year mortality rate, these specialized HF clinics are not needed anymore.…”

Section: Introductionmentioning

confidence: 99%

Heart Failure Clinics Are Still Useful (More Than Ever?)

Jaarsma

Strömberg

2014

Canadian Journal of Cardiology

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Heart Failure (HF) clinics have had an important role in optimal HF management and the effectiveness of these clinics has been studied intensively. A HF clinic is one of the various ways to organize a HF disease management program. There is good evidence that HF disease management can improve outcomes in HF patients, but it is not clear what the optimal components of these programs are and what the relative effectiveness of a HF clinic is compared to other forms of HF management. After initial positive reports on the effect of HF clinics, these clinics were implemented in a lot of countries, although in different formats and of varying quality. In this paper we describe the initial need for HF clinics, reflect on their development over time and discuss the role of HF clinics in the current need for HF disease management.Introduction:

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“…Multidisciplinary or nurse lead rehabilitation carried out during the acute hospital stay and in out-patients clinics have been shown to increase patients' self-care ability and patients' management of everyday life with HF. [9][10][11][12][13][14][15][16][17][18] No studies have tested whether further improvement in the outcome of rehabilitation can be obtained if patients are supported during the transition from phase two to phase three in their rehabilitation. In general, there is little evidence for the effect of rehabilitation interventions after discharge from outpatient clinics.…”

Section: Introductionmentioning

confidence: 99%

“…Selfcare has been used as an outcome of rehabilitation but not as a means to improving well-being and Health Status. [9][10][11][12][13][14][15][16][17][18]23] Planning care in respect of the individual patient's experience of the situation to a greater extent results in changes in patient behaviours that are regarded as positive for Health Status and preventing disease progression. [24][25][26][27] It requires involvement of the patient in the planning of the care process and also that the patient is able to make decisions and to convert knowledge acquired from the provided education to beneficial actions in practice.…”

Section: Introductionmentioning

confidence: 99%

Effect of Clinical Nurses Specialists intervention on rehabilitation outcomes in patients with heart failure

Larsen

Thomsen

Pedersen

2014

Clinical Nursing Studies

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Introduction: Living with heart failure is serious and call for long term rehabilitation care. Rehabilitation elements for patients with Heart Failure are based on the recommendations from the European Society of Cardiology and focuses on self-care and adherence in general. The aim of this study was, therefore, to test a protocol for rehabilitation of patients after completing rehabilitation in the outpatient clinic. Method:The study design is quasi-experimental. Patients in the control group follow the conventional rehabilitation. For the patients in the intervention group an individual rehabilitation plan was prepared and followed up by telephone after 4 and 12 weeks. For all patients Health Status were measured with Short Form 36 and EQ5D.Results: One hundred and sixty-two patients are included in the study of which 137 (84.6%) consented. There were no differences in total self-care behavior between the groups at baseline and at follow-up after 4 and 12 weeks. Within the control group no changes in the self-care score from baseline to follow-up were observed. Total EQ5D scores showed no significant differences between the groups at baseline. Subgroup analyses showed a significant difference in usual activities and decrease in anxiety/depression in the intervention group with a within-group increase from 34.4 percent at baseline to 51.4 percent after 12 weeks (p = .0002). No between-groups differences at 4 weeks or 12 weeks were observed.Conclusion: No significant increase in Health Status between groups were found. Subgroup analysis showed a significant within-group decrease in development of anxiety in the intervention group from baseline to twelve weeks. There may be a correlation between the increase in self-care behavior in patients in the intervention group after 12 weeks and a reduction in anxiety.

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Clinical service organisation for heart failure

Cited by 184 publications

References 144 publications

Variability in use of IV nitrates and diuretics in acute HF: a ‘virtual patient’ clinical decision-making study

Variability in use of IV nitrates and diuretics in acute HF: a ‘virtual patient’ clinical decision-making study

Heart Failure Clinics Are Still Useful (More Than Ever?)

Effect of Clinical Nurses Specialists intervention on rehabilitation outcomes in patients with heart failure

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