Extending the horizon in chronic heart failure : Effects of multidisciplinary, home-based intervention relative to usual care

The long-term impact of chronic heart failure management programs over the typical life span of affected individuals is unknown. The effects of a nurse-led, multidisciplinary, home-based intervention (HBI) in a typically elderly cohort of patients with chronic heart failure initially randomized to e...

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Veröffentlicht in:	Circulation (New York, N.Y.) N.Y.), 2006-12, Vol.114 (23), p.2466-2473
Hauptverfasser:	INGLIS, Sally C, PEARSON, Sue, TREEN, Suzette, GALLASCH, Tamara, HOROWITZ, John D, STEWART, Simon
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Biological and medical sciences Blood and lymphatic vessels Cardiac Output, Low - economics Cardiac Output, Low - mortality Cardiac Output, Low - nursing Cardiology. Vascular system Cardiovascular system Chronic Disease Cost-Benefit Analysis Disease-Free Survival Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Follow-Up Studies Health Care Costs - trends Home Care Services - economics Humans Interdisciplinary Communication Length of Stay - economics Length of Stay - statistics & numerical data Male Medical sciences Miscellaneous Outcome Assessment (Health Care) Patient Care Team Patient Readmission - economics Patient Readmission - statistics & numerical data Pharmacology. Drug treatments Prognosis Prospective Studies Public health. Hygiene Public health. Hygiene-occupational medicine Self Care Treatment Outcome Vasodilator agents. Cerebral vasodilators
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Zusammenfassung:	The long-term impact of chronic heart failure management programs over the typical life span of affected individuals is unknown. The effects of a nurse-led, multidisciplinary, home-based intervention (HBI) in a typically elderly cohort of patients with chronic heart failure initially randomized to either HBI (n=149) or usual postdischarge care (UC) (n=148) after a short-term hospitalization were studied for up to 10 years of follow-up (minimum 7.5 years of follow-up). Study end points were all-cause mortality, event-free survival (event was defined as death or unplanned hospitalization), recurrent hospital stay, and cost per life-year gained. Median survival in the HBI cohort was almost twice that of UC (40 versus 22 months; P
ISSN:	0009-7322 1524-4539
DOI:	10.1161/CIRCULATIONAHA.106.638122