Heart failure clinics and outpatient management: review of the evidence and call for quality assurance

European Heart Journal
Finn Gustafsson, J Malcolm O Arnold

Abstract

Despite major advances in treatment options for heart failure patients, morbidity and mortality remain unacceptably high. Frequent readmissions are distressful for patients and are associated with large costs for society. In an attempt to improve care for heart failure patients and thereby reduce morbidity and hospital readmissions, specialised heart failure clinics have emerged over the last 10 years. In particular, clinics relying, at least in part, on nurses specially trained in heart failure have gained popularity. This review of the published literature describes the wide variety of designs and the types of interventions taking place in such heart failure clinics. A total of 18 randomised studies comparing heart failure clinics using nurse intervention with conventional care have been published to date, and the majority of these have shown either a reduction in hospital readmissions or shortening of hospitalisations in the intervention group. These findings are supported by the results of several non-randomised, controlled investigations. Thus, it is concluded that heart failure clinics using nurse intervention should be an integrated part of the care process for patients with heart failure wherever possible. We argue that...Continue Reading

Citations

Aug 28, 2012·The Journal of Nursing Administration·Linda S AustinKenneth H Hanger
Jan 25, 2013·Israel Journal of Health Policy Research·Jochanan Benbassat, Mark I Taragin
Jan 19, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·John G F Cleland
Jun 24, 2014·Texas Heart Institute Journal·Kailash MosalpuriaStuart D Russell
Apr 26, 2013·Circulation. Heart Failure·Paul A HeidenreichUNKNOWN Stroke Council
Sep 27, 2005·Expert Review of Cardiovascular Therapy·Jonathan G Howlett
Aug 25, 2005·Scandinavian Cardiovascular Journal : SCJ·Ronnie Willenheimer
Aug 25, 2005·Scandinavian Cardiovascular Journal : SCJ·Mogens K AndersenFinn Gustafsson
Mar 1, 2012·The Canadian Journal of Cardiology·Shannon GravelyUNKNOWN Cardiac Rehabilitation Care Continuity Through Automatic Referral Evaluation (CRCARE) Investigators
Jun 28, 2011·Journal of Cardiac Failure·Debbie Ehrmann FeldmanLouise Pilote
Jul 20, 2011·European Journal of Internal Medicine·Ghazaleh GouyaRichard Pacher
Dec 5, 2009·The Canadian Journal of Cardiology·Debbie Ehrmann FeldmanMichael Abrahamowicz
Dec 2, 2008·Journal of Cardiac Failure·Paul J HauptmanUNKNOWN Heart Failure Society of America
Oct 24, 2009·Internal Medicine Journal·S ThavapalachandranP Sanders
Sep 28, 2005·European Journal of Heart Failure·Mitja Lainscak, Irena Keber
Jun 19, 2007·European Journal of Heart Failure·Finn GustafssonUNKNOWN Danish Heart Failure Clinics Network
Feb 24, 2009·European Journal of Heart Failure·Finn GustafssonUNKNOWN Danish Heart Failure Clinics Network
Dec 17, 2010·European Journal of Heart Failure·Theresa A McDonaghUNKNOWN European Society of Cardiology Heart Failure Association Committee on Patient Care
Nov 13, 2010·European Journal of Clinical Investigation·Christopher AdlbrechtRichard Pacher
Jun 23, 2005·Revista española de cardiología·Fernando Rodríguez-Artalejo, Pilar Guallar-Castillón
Apr 4, 2006·International Journal of Cardiology·Yves JuillièreUNKNOWN Working Group on Heart Failure of the French Society of Cardiology
Feb 7, 2006·Annales de cardiologie et d'angéiologie·Y JuillièreP Jourdain
Jul 6, 2015·Heart Failure Clinics·Julie W CreaserGregg C Fonarow
Jul 25, 2009·Journal of the American College of Cardiology·Alexander M ClarkDavid R Thompson
Sep 1, 2016·Revista Española De Cardiología·Manuel Anguita SánchezAndrés Íñiguez Romo
Jul 22, 2006·Journal of Cardiovascular Medicine·Gaetano NuciforaPaolo Maria Fioretti
Aug 1, 2006·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lena NordgrenIngegerd Fagerberg
Nov 26, 2010·Journal of Telemedicine and Telecare·Malcolm ClarkeUrvashi Sharma
Jun 20, 2017·JBI Database of Systematic Reviews and Implementation Reports·Inge SchjødtBrian Bridal Løgstrup
Mar 19, 2020·European Journal of Heart Failure·Petar M SeferovićUNKNOWN Heart Failure Association Board of the European Society of Cardiology
Jul 29, 2017·European Heart Journal Supplements : Journal of the European Society of Cardiology·Nadia AspromonteFrancesco Romeo
Jan 20, 2019·Internal and Emergency Medicine·Anna BelfiorePiero Portincasa
Jun 1, 2020·Heart Failure Reviews·Caroline VerhestraetenMichael Maris

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