Protocol-based follow-up program for heart failure patients: Impact on prognosis and quality of life

Agostinho, João R.; Gonçalves, Inês; Rigueira, J; Aguiar-Ricardo, I; Nunes-Ferreira, A; Santos, R; Guimarães, Tatiana; Alves, Pedro Nascimento; Cunha, Nelson; Rodrigues, Tiago; André, ŃZinga; Pedro, Maria Isabel; Veiga, Francisco José; Pinto, Fausto J.; Brito, Dulce

doi:10.1016/j.repce.2019.03.011

Cited by 4 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study finding was in line with a study by (Bhosale et al, 2020) [8] who found that the majority of his study sample were males; mean age 55.8 years. Also, agree with (Agostinho et al, 2019) [2] who found that the majority of his study sample were males. Also, agree with (Rahim et al, 2018) [3] who found that Most subjects of both study and control groups were married.…”

Section: Discussionsupporting

confidence: 90%

Effect of implementing nursing educational program on re-admission for patients with heart failure

Abozead¹,

Ali²,

Abdel-Galeel³

et al. 2021

Int. J. Adv. Res. Nurs.

View full text Add to dashboard Cite

Background: About 20-50% of patients with heart failure are readmitted to hospitals in 14 day to 6 months of hospital discharge worldwide. Aim of the study: This study was performed to evaluate the effect of implementing nursing educational program on readmission for patients with heart failure. Research design: Quasi experimental research design was utilized to conduct this study. (study and control group).

show abstract

Section: Discussionsupporting

confidence: 90%

Effect of implementing nursing educational program on re-admission for patients with heart failure

Abozead¹,

Ali²,

Abdel-Galeel³

et al. 2021

Int. J. Adv. Res. Nurs.

View full text Add to dashboard Cite

show abstract

“…16 It is well recognised that the task of reducing hospital readmissions remains challenging in many high-income countries. 17,18 Further research should focus on safe discharge, 19 follow-up care for patients [20][21][22] and effective communication with primary care physicians. 23 The identification of eight conditions that carry greater mortality risk with identical AR episodes in this study is consistent with previous studies.…”

Section: Discussionmentioning

confidence: 99%

Frequent identical admission–readmission episodes are associated with increased mortality

2021

View full text Add to dashboard Cite

Frequent emergency readmissions may associate with health consequences. We examined the association between readmissions within 28 days of hospital discharge and mortality in 32,270 alive-discharge episodes (18-107 years). Data collected between 1 April 2017 and 31 March 2019 are presented as age-and sex-adjusted hazard ratios (HR) with 95% confidence interval (CI).Compared with no readmission, mortality risk over a 2-year period was increased with one non-identical admission-readmission (AR) episode: HR = 2.4 (2.2-2.7), two or more non-identical AR episodes: HR = 3.0 (2.7-3.4), one identical AR episode: HR = 4.7 (3.6-6.1) and two or more identical AR episodes: HR = 5.0 (3.8-6.7). Eight conditions associated with AR episodes had increased risk of mortality including congestive heart failure: HR = 2.

show abstract

“…In a meta‐analysis of 36 randomized clinical trials published between 1993 and 2005, the authors found a marginal reduction of 3% in mortality 20 . Although HF patients on optimal medical therapy with mild or moderate symptoms do not typically benefit from long‐term follow‐up in a specialized HF clinic and are safely managed by their GP, 21 data are conversely difficult to interpret in unstable or severe patients and specialized follow‐up is associated with a greater reduction in mortality 22,23 . Indeed, worsening HF, defined by the deterioration of HF signs and symptoms requiring escalation of therapy, is a distinctive trajectory of patients with stage C HF, 24,25 i.e.…”

Section: Discussionmentioning

confidence: 99%

Risk of readmission and death after hospitalization for worsening heart failure: Role of post‐discharge follow‐up visits in a real‐world study from the Grand Est Region of France

Baudry,

Pereira,

Duarte

et al. 2023

European J of Heart Fail

View full text Add to dashboard Cite

AimsPatients who experience hospitalizations due to heart failure (HF) face a significant risk of readmission and mortality. Our objective was to evaluate whether the risk of hospitalization and mortality following discharge from HF hospitalization differed based on adherence to the outpatient follow‐up (FU) protocol comprising an appointment with a general practitioner (GP) within 15 days, a cardiologist within 2 months or both (termed combined FU).Methods and resultsWe studied all adults admitted for a first HF hospitalization from 2016 to 2020 in France's Grand Est region. Association between adherence to outpatient FU and outcomes were assessed with time‐dependent survival analysis model. Among 67 476 admitted patients (mean age 80.3 ± 11.3 years, 53% women), 62 156 patients (92.2%) were discharged alive and followed for 723 (317–1276) days. Combined FU within 2 months was used in 21.1% of patients, with lower rates among >85 years, women, and those with higher comorbidity levels (p < 0.0001 for all). Combined FU was associated with a lower 1‐year death or rehospitalization (adjusted hazard ratio [HR] 0.91, 95% confidence interval [CI] 0.88–0.94, p < 0.0001) mostly related to lower mortality (adjusted HR 0.65, 95% CI 0.62–0.68, p < 0.0001) whereas HF readmission was higher (adjusted HR 1.19, 95% CI 1.15–1.24, p < 0.0001). When analysing components of combined FU separately, 1‐year mortality was more related to cardiologist FU (HR 0.65, 95% CI 0.62–0.67, p < 0.0001), than GP FU (HR 0.87, 95% CI 0.85–0.90, p < 0.0001).ConclusionCombined FU is carried out in a minority of patients following HF hospitalization, yet it is linked to a substantial reduction in 1‐year mortality, albeit at the expense of an increase in HF hospitalizations.

show abstract

Protocol-based follow-up program for heart failure patients: Impact on prognosis and quality of life

Cited by 4 publications

References 33 publications

Effect of implementing nursing educational program on re-admission for patients with heart failure

Effect of implementing nursing educational program on re-admission for patients with heart failure

Frequent identical admission–readmission episodes are associated with increased mortality

Risk of readmission and death after hospitalization for worsening heart failure: Role of post‐discharge follow‐up visits in a real‐world study from the Grand Est Region of France

Contact Info

Product

Resources

About