Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?
Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?
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DOI：
10.1016/j.cardfail.2012.05.004
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发表时间：
2012-07
影响因子：
6
通讯作者：
Pignone, Michael
中科院分区：
文献类型：
--
作者：
Jones, Christine D.;Holmes, George M.;Dewalt, Darren A.;Erman, Brian;Broucksou, Kimberly;Hawk, Victoria;Cene, Crystal W.;Wu, Jia-Rong;Pignone, Michael
心力衰竭（HF）自我护理干预可以改善结局，但低于最佳依从性可能会限制其有效性。我们评估了体重监测和利尿剂自我调节的依从性是否与HF相关的艾德就诊或住院相关。我们在一项HF自我护理随机试验中进行了病例对照分析。参与者接受HF自我护理培训，包括体重监测和利尿剂自我调节，并记录在日记中。我们将病例定义为HF相关艾德就诊或住院以及之前7天;对照定义为7天内无艾德就诊和住院。我们使用逻辑回归分析比较病例组和对照组的体重监测和利尿剂自我调节依从性，并对人口统计学和临床协变量进行了调整。在303名参与者中，我们在54名患者的一年随访中确定了81例HF相关的艾德就诊或住院（病例）。体重监测依从性（OR 0.42，95% CI 0.23，0.76）和利尿剂自我调节依从性（OR 0.44，95% CI 0.19，0.98）均与HF相关艾德访视或住院的校正几率较低相关。坚持体重监测和利尿剂自我调节与HF相关艾德就诊或住院的可能性较低相关。坚持这些活动可能会降低HF相关的发病率。
Heart failure (HF) self-care interventions can improve outcomes, but less than optimal adherence may limit their effectiveness. We evaluated if adherence to weight monitoring and diuretic self-adjustment was associated with HF-related ED visits or hospitalizations. We performed a case-control analysis nested in a HF self-care randomized trial. Participants received HF self-care training including weight monitoring and diuretic self-adjustment, which they were to record in a diary. We defined cases as HF-related ED visits or hospitalizations and the 7 preceding days; controls were defined as 7-day periods free of ED visits and hospitalizations. We used logistic regression to compare weight monitoring and diuretic self-adjustment adherence in cases and controls, adjusted for demographic and clinical covariates. Among 303 participants, we identified 81 HF-related ED visits or hospitalizations (cases) in 54 patients over one year of follow-up. Weight monitoring adherence (OR 0.42, 95% CI 0.23, 0.76) and diuretic self-adjustment adherence (OR 0.44, 95% CI 0.19, 0.98) were both associated with lower adjusted odds of HF-related ED visits or hospitalizations. Adherence to weight monitoring and diuretic self-adjustment was associated with lower odds of HF-related ED visits or hospitalizations. Adherence to these activities may reduce HF-related morbidity.
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影响因子：
4.8
作者：
Goldberg, LR;Piette, JD;Loh, E
通讯作者：
Loh, E
影响因子：
2
作者：
Riegel, Barbara;Lee, Christopher S.;Carlson, Beverly
通讯作者：
Carlson, Beverly
影响因子：
37.8
作者：
Galbreath, AD;Krasuski, RA;Freeman, GL
通讯作者：
Freeman, GL
DOI：
10.1056/nejmoa1010029
发表时间：
2010-12-09
期刊：
The New England journal of medicine
影响因子：
--
作者：
Chaudhry SI;Mattera JA;Curtis JP;Spertus JA;Herrin J;Lin Z;Phillips CO;Hodshon BV;Cooper LS;Krumholz HM
通讯作者：
Krumholz HM
影响因子：
2.8
作者：
DeWalt DA;Broucksou KA;Hawk V;Baker DW;Schillinger D;Ruo B;Bibbins-Domingo K;Holmes M;Weinberger M;Macabasco-O'Connell A;Pignone M
通讯作者：
Pignone M