Survival and hospitalization in a nurse-led domiciliary intervention for elderly heart failure patients

Journal of Cardiovascular Medicine
Lorenzo RondininiRita Mariotti

Abstract

Heart failure in the elderly population represents a complex clinical situation associated with frequent hospitalizations and numerous comorbidities. The present study aimed to evaluate the impact of a domiciliary-based nurse-led strategy in a group of very elderly patients affected by heart failure who were regularly seen at an outpatient heart failure clinic (HFC). Patients were periodically assessed in their homes by two trained nurses under supervision of the cardiologists of the HFC. During each visit, the nurses examined clinical status and adherence to medication. When necessary, they also gathered venous blood samples for laboratory analysis and recorded an electrocardiogram. In addition, they provided key information regarding disease management to patients as well as to their care givers. During the baseline visit and, subsequently, every 6 months, an echocardiogram was performed at the HFC. Forty-four patients (52.4% male, median age 82 years) were followed up for a mean of 25 +/- 12 months. Compared to an equally long time period before randomization, during follow-up, a significant reduction in cardiac hospitalizations (from 1.83 +/- 1.54 to 1.07 +/- 1.39, P = 0.004), total hospitalizations (from 2.09 +/- 1.71 to 1...Continue Reading

References

Jan 1, 1994·Annual Review of Medicine·T S Rector, J N Cohn
Feb 1, 1997·European Heart Journal·M R CowieD E Grobbee
May 1, 1997·Mayo Clinic Proceedings·M Senni, M M Redfield
Sep 4, 1999·Journal of Internal Medicine·T Rydén-Bergsten, F Andersson
Dec 2, 2000·American Heart Journal·M R Shah, C M O'connor
Apr 5, 2001·The American Journal of Medicine·F A McAlisterP W Armstrong
May 30, 2001·European Journal of Heart Failure·S StewartJ J McMurray
Oct 2, 2001·International Journal of Cardiology·G F Mendez, M R Cowie
Oct 18, 2001·European Heart Journal·M C PetrieJ J McMurray
Nov 1, 2002·The New England Journal of Medicine·Daniel LevyRamachandran S Vasan
Dec 28, 2002·The American Journal of Geriatric Cardiology·Michael W Rich
Mar 18, 2004·JAMA : the Journal of the American Medical Association·Christopher O PhillipsHaya R Rubin
Aug 11, 2004·European Journal of Heart Failure·Felipe AtienzaUNKNOWN PRICE Study Group
Nov 1, 1996·Archives of Gerontology and Geriatrics·F RengoUNKNOWN CHF Italian Study Investigators
Jan 22, 2005·Seminars in Nephrology·Wolfram Doehner, Stefan D Anker
Jun 20, 2006·International Journal of Cardiology·Ewa A JankowskaPiotr Ponikowski

❮ Previous
Next ❯

Citations

Mar 3, 2009·Heart Failure Clinics·Ragavendra R Baliga, James B Young
Jun 19, 2012·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Tiny JaarsmaAnna Stromberg
Oct 29, 2018·European Journal of Clinical Investigation·Gian M RosaFiammetta Monacelli
Jan 9, 2019·The Cochrane Database of Systematic Reviews·Andrea TakedaStephanie Jc Taylor
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Andrea TakedaMartin Underwood

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.