Efectividad y determinantes del éxito de los programas de atención a pacientes con insuficiencia cardiaca: revisión sistemática y metanálisis

Oyanguren, Juana; García, Pedro Maria Latorre; Laguna, J. Torcal; Goya, Iñaki Lekuona; Martín, Susana; Lafuente, Elena Maull; Grandes, Gonzalo

doi:10.1016/j.recesp.2016.05.008

Cited by 44 publications

(18 citation statements)

References 25 publications

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“…De estos se seleccionaron veinte tras lectura del texto completo, y de ellos se eliminaron doce por no cumplir los criterios de inclusión. Se incluyeron en la revisión ocho artículos [19][20][21][22][23][24][25][26] (Tabla 1) de los que solo uno incluía el término empoderamiento 19 . Tres eran experimentales 20,22,25 , tres cuasi-experimentales 16,24,26 y dos revisiones sistemáticas 23,21 , con una procedencia heterogénea: Suecia 19 , China 20 , España 21 , Australia 22 , Canadá 23 , Colombia 24 , Vietman 25 y Estados Unidos 26 .…”

Section: A H E a D O F P R I N T Resultadosunclassified

A systematic review of interventions to empower patient with chronic heart failure in hospital environment

Paloma

Urmeneta²,

Roda-Casado³

et al. 2020

An Sist Sanit Navar

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Section: A H E a D O F P R I N T Resultadosunclassified

A systematic review of interventions to empower patient with chronic heart failure in hospital environment

Paloma

Urmeneta²,

Roda-Casado³

et al. 2020

An Sist Sanit Navar

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“…Several publications address effects of outpatient and inpatient intervention programs for heart failure patients, with inconsistent positive effects [24–27]. The simulated telemonitoring setting for scenario four, based on findings by Dendale et al [38], scores in the upper spectrum in terms of potential benefits, with a decrease in admission rates as well as length of stay.…”

Section: Discussionmentioning

confidence: 99%

“…Data homogeneity was tested with a 10-fold cross validation for the main input parameters, which showed only minor deviations between test and training sets. As already mentioned, study results vary distinctively in their outcomes for different intervention programs [24–27], therefore most published models and studies in this field are subject to limitations in their generalizability. The specific patient collective, study design and region has a distinct influence on cost and health outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Commonly, they focus on the detection of symptoms at an earlier stage and thus on stabilizing the patient’s health status and minimizing unnecessary admissions [23]. However, several studies analyzing the potential benefits of these novel approaches present controversial results and are often based on small study cohorts and short follow-up times [24–27].…”

Section: Introductionmentioning

confidence: 99%

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A novel hybrid modeling approach for the evaluation of integrated care and economic outcome in heart failure treatment

Lassnig

Rienmueller

Kramer

et al. 2019

BMC Med Inform Decis Mak

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BackgroundDemographic changes, increased life expectancy and the associated rise in chronic diseases pose challenges to public health care systems. Optimized treatment methods and integrated concepts of care are potential solutions to overcome increasing financial burdens and improve quality of care. In this context modeling is a powerful tool to evaluate potential benefits of different treatment procedures on health outcomes as well as health care budgets. This work presents a novel modeling approach for simulating different treatment procedures of heart failure patients based on extensive data sets from outpatient and inpatient care.MethodsOur hybrid heart failure model is based on discrete event and agent based methodologies and facilitates the incorporation of different therapeutic procedures for outpatient and inpatient care on patient individual level. The state of health is modeled with the functional classification of the New York Heart Association (NYHA), strongly affecting discrete state transition probabilities alongside age and gender. Cooperation with Austrian health care and health insurance providers allowed the realization of a detailed model structure based on clinical data of more than 25,000 patients.ResultsSimulation results of conventional care and a telemonitoring program underline the unfavorable prognosis for heart failure and reveal the correlation of NYHA classes with health and economic outcomes. Average expenses for the treatment of NYHA class IV patients of €10,077 ± €165 were more than doubled compared to other classes. The selected use case of a telemonitoring program demonstrated potential cost savings within two years of application. NYHA classes II and III revealed most potential for additional treatment measures.ConclusionThe presented model allows performing extensive simulations of established treatment procedures for heart failure patients and evaluating new holistic methods of care and innovative study designs. This approach offers health care providers a unique, adaptable and comprehensive tool for decision making in the complex and socioeconomically challenging field of cardiovascular diseases.

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“…La educación y el autocuidado en pacientes con FC son elementos positivos de las intervenciones para disminuir el riesgo de morbimortalidad (12)(13)(14)(15)(16). Es primordial que se implementen programas específicos para pacientes con FC, ya que existe suficiente evidencia de programas exitosos y costo-efectivos (11).…”

Section: Introductionunclassified

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

Guerra

Cuevas

2020

Av. enferm.

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Objetivo: dar a conocer el diseño,implementación y evaluación de una intervención de enfermería: “Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca”.Métodos: se realizó un proceso sistemático propuesto por Sidani yBraden que contempla cuatro fases: diseño de la intervención, operacionalización de la intervención en un manual de intervención, estudio de aceptabilidad, viabilidad y efectividad de la intervención y traducción de la intervención.Resultados: se diseñó la intervención según los postulados de la teoría de situación específica autocuidado en falla cardíaca, centrada en la toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca. Los expertos (n = 5) evaluaron satisfactoriamente el nivel teórico del protocolo (índice de cumplimiento 90 %). La tasa de reclutamiento de los participantes fue exitosa (91,6 %). En una muestra final para el análisis (n = 105) se halló una mejora significativa en el grupo de intervención (n = 53) en el mantenimiento del autocuidado [F (1,103) = 719,6; p = 0,000; 𝜂2𝑝 =0,88 ( = f de Cohen ́s = 2,65)] y en lagestión del autocuidado [F (1,74) = 23501,07;p = 0,000; 𝜂2𝑝 = 0,97 ( = f de Cohen ́s = 5,6)] comparado con el grupo de control(n = 52) que recibió la atención habitual.Conclusiones: se demuestra la fidelidad teórica y operacional, la factibilidad y efectividad del protocolo de una intervención de enfermería para mejorar el autocuidado en adultos con falla cardíaca con un tamaño de efecto grande.

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Efectividad y determinantes del éxito de los programas de atención a pacientes con insuficiencia cardiaca: revisión sistemática y metanálisis

Cited by 44 publications

References 25 publications

A systematic review of interventions to empower patient with chronic heart failure in hospital environment

A systematic review of interventions to empower patient with chronic heart failure in hospital environment

A novel hybrid modeling approach for the evaluation of integrated care and economic outcome in heart failure treatment

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

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