Vulnerabilities of patients recovering from an exacerbation of chronic heart failure
American Heart JournalPublished 1 November 2005
Debra K. Moser, Lynn V. Doering, Misook L. Chung
Citations150
SJR quartileQ1
SJR score2.04
SNIP1.18
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Patients newly discharged from a hospitalization for HF exhibit many psychosocial and behavioral risk factors for rehospitalization, although they have been judged clinically stable.
Abstract
Patients newly discharged from a hospitalization for HF exhibit many psychosocial and behavioral risk factors for rehospitalization, although they have been judged clinically stable.
Keywords
Medicine
Journal of the American College of CardiologyACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult
4,164 Citations2005Sharon A. Hunt
New England Journal of MedicineA Multidisciplinary Intervention to Prevent the Readmission of Elderly Patients with Congestive Heart Failure
2,336 Citations1995Michael W. Rich, Valerie Beckham +4 more
A nurse-directed, multidisciplinary intervention can improve quality of life and reduce hospital use and medical costs for elderly patients with congestive heart failure.
Journal of the American College of CardiologyACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary
1,919 Citations2001Sharon A. Hunt, David W. Baker +22 more
Journal of the American Geriatrics SocietyTransitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial
1,363 Citations2004Mary D. Naylor, D Brooten +4 more
Examination of the effectiveness of a transitional care intervention delivered by advanced practice nurses to elders hospitalized with heart failure to see if it improves the quality of life for these elders.
American Heart JournalAssessment of patient outcome with the Minnesota Living with Heart Failure questionnaire: Reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan
988 Citations1992Thomas S. Rector, Jay N. Cohn
To determine the reliability and validity of a patient outcome questionnaire for chronic heart failure, a randomized, double-blind, placebo-controlled, 3-month trial of pimobendan, an investigational medication with inotropic and vasodilator activities, was performed.
Archives of Internal MedicineRelationship of Depression to Increased Risk of Mortality and Rehospitalization in Patients With Congestive Heart Failure
941 Citations2001Wei Jiang, Jude D. Alexander +9 more
Major depression is common in patients hospitalized with CHF and is independently associated with a poor prognosis, and the independent prognostic value of depression after adjustment for clinical risk factors is evaluated.
HeartHealth related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables
781 Citations2002Jana Juenger, D Schellberg +5 more
Though NYHA functional class was the most dominant predictor among the somatic variables studied, the major determinants of reduced quality of life remain unknown.
Journal of the American Geriatrics SocietyEarly Readmission of Elderly Patients With Congestive Heart Failure
729 Citations1990Janice M. Vinson, Michael W. Rich +3 more
Archives of Internal MedicinePatients With Depression Are Less Likely to Follow Recommendations to Reduce Cardiac Risk During Recovery From a Myocardial Infarction
710 Citations2000Roy C. Ziegelstein, James A. Fauerbach +4 more
Patients with depression following an acute MI are less likely to adhere to recommended behavior and lifestyle changes intended to reduce the risk of subsequent cardiac events, which could explain why depression in the hospital is related to long-term prognosis in patients recovering from an MI.
Journal of the American College of CardiologyDepressive symptoms and risk of functional decline and death in patients with heart failure
525 Citations2001Viola Vaccarino, Stanislav V. Kasl +2 more
There was a strong and graded association between the severity of depressive symptoms at baseline and the rate of the combined end point of either functional decline or death at six months.
The American Journal of CardiologyValidity of the minnesota living with heart failure questionnaire as a measure of therapeutic response to enalapril or placebo
503 Citations1993Thomas S. Rector, Spencer H. Kubo +1 more
A valid measure of therapeutic response should be responsive to medications known to benefit patients with heart failure and be insensitive to the effects of placebo and demonstrates the questionnaire's responsiveness to a converting enzyme inhibitor and confirms its insensitivity to placebo.
Biological PsychiatryDepression and cardiovascular disease: mechanisms of interaction
501 Citations2003Karen E. Joynt, David J. Whellan +1 more
Seven potential mechanisms for the relationship between depression and cardiovascular disease are reviewed and the available evidence surrounding each mechanism is presented.
HeartPreventable causative factors leading to hospital admission with decompensated heart failure
501 Citations1998Andreas Michalsen, G König +1 more
Many hospital admissions for decompensation of chronic heart failure in patients at a district hospital in Berlin are preventable, and measures are necessary to improve this situation and evaluation of programmes that include patient education, patient follow up, and physician training is needed.
Journal of the American College of CardiologyThe influence of age, gender, and race on the prevalence of depression in heart failure patients
467 Citations2004Stephen S. Gottlieb, Meenakshi Khatta +12 more
Depression is common in patients with HF, with age, gender, and race influencing its prevalence in ways similar to those observed in the general population, and data suggest that pharmacologic or non-pharmacologic treatment of depression might improve the QOL of HF patients.
The LancetTreatment adherence and risk of death after a myocardial infarction
456 Citations1990Ralph I. Horwitz, Catherine M. Viscoli +8 more
Patients who did not adhere well to treatment regimen were 2.6 times more likely than good adherers to die within a year of follow-up, and poor adherers had an increased risk of death whether they were on propranolol or placebo.
Journal of Clinical EpidemiologyTreatment adherence in chronic disease
439 Citations2001Jacqueline Dunbar‐Jacob, MaryKay Mortimer-Stephens
This article provides an up-to-date review of the literature on medication adherence in chronic disease and recommends a number of strategies to improve adherence to treatment regimens.
European Heart JournalImpact of heart failure and left ventricular systolic dysfunction on quality of life. A cross-sectional study comparing common chronic cardiac and medical disorders and a representative adult population
418 Citations2002Richard Hobbs
Quality of life in patients found to have heart failure, LVSD, and other cardiac and medical conditions are compared with the randomly selected general population sample and optimising treatment to improve NYHA class appears to improve perceptions of quality of life for patients with heart failure.
Psychosomatic MedicinePrevalence of Depression in Hospitalized Patients With Congestive Heart Failure
394 Citations2003Kenneth E. Freedland, Michael W. Rich +4 more
The prevalence of depression in hospitalized patients with CHF is similar to rates found in post-myocardial infarction patients, however, it is considerably higher in certain subgroups, such as patients with class III or IV heart failure.
Archives of Internal MedicineFactors Influencing Knowledge of and Adherence to Self-care Among Patients With Heart Failure
382 Citations1999Hanyu Ni, Deirdre Nauman +4 more
There is a gap between patients receiving and absorbing or retaining information on self-care for congestive heart failure supplied by health care providers, and a gap needs to be directed to outpatients in addition to inpatients.
Journal of the American College of CardiologyDepressive symptoms are the strongest predictors of short-term declines in health status in patients with heart failure
347 Citations2003John S. Rumsfeld, Edward P. Havranek +6 more
Depressive symptoms are a strong predictor of short-term worsening of HF-specific health status and the recognition and treatment of depression may be an important component of HF care.
CirculationPrognostic Importance of Emotional Support for Elderly Patients Hospitalized With Heart Failure
346 Citations1998Harlan M. Krumholz, Javed Butler +7 more
Among elderly patients hospitalized with clinical heart failure, the absence of emotional support is a strong, independent predictor of the occurrence of fatal and nonfatal cardiovascular events in the year after admission, and in this cohort, the association is restricted to women.
Archives of Internal MedicineAcute Precipitants of Congestive Heart Failure Exacerbations
337 Citations2001Ross T. Tsuyuki, Robert S. McKelvie +9 more
A variety of factors, many of which are avoidable, are associated with exacerbation of CHF.
Journal of Cardiac FailureRisk stratification after hospitalization for decompensated heart failure
328 Citations2004G. Michael Felker, Jeffrey D. Leimberger +6 more
Risk stratification of patients with decompensated HF may be accomplished using easily assessed clinical variables using multivariable modeling, and the discriminatory power of the model was substantial for the mortality model but less for the composite endpoint.
Patient Education and CounselingFacilitators and barriers to heart failure self-care
317 Citations2002Bárbara Riegel, Beverly Carlson
How HF influences patients' lives, assess how they perform self-care, and determine how their life situation facilitates or impedes HFSelf-care is typically poor and readmission rates continue to be high is explored.
Clinical CardiologyThe economic burden of heart failure
308 Citations2000J. B. O'Connell
Strategies may include adopting approaches for preventing heart failure and implementing new treatment modalities with proven efficacy into large‐scale clinical practice and development of innovative approaches to fund support services.
Heart & LungSelf-care abilities of patients with heart failure
300 Citations2001Beverly Carlson, Bárbara Riegel +1 more
With the low level of self-care ability and the number of difficulties these patients face, it is not surprising that rehospitalization rates remain high.
The American Journal of MedicineFactors associated with unplanned hospital readmission among patients 65 years of age and older in a medicare managed care plan
291 Citations1999Edward R. Marcantonio, Sylvia C. McKean +4 more
If validated, these factors may identify patients at high risk of readmission and suggest that interventions, such as improved discharge education programs, may reduce unplanned readmission.
Social Science & MedicineA story of maladies, misconceptions and mishaps: effective management of heart failure
281 Citations2003Carol R. Horowitz, Stephanie B Rein +1 more
In depth responses elucidate how the interplay between acute and chronic models of a chronic illness effect self-management behaviors and illustrate the tools that may be needed to effectively manage this serious and disabling illness, and suggest possible ways to enhance the self- management process and ultimately improve patients' lives.
European Journal of Heart FailureNon-Compliance and Knowledge of Prescribed Medication in Elderly Patients with Heart Failure
246 Citations1999Charles Cline, A.K. Björck‐Linné +3 more
To determine the extent of non‐compliance to prescribed medication in elderly patients with heart failure and to determine to what extent patients recall information given regarding their medication.
Heart & LungRelationship between psychosocial variables and compliance in patients with heart failure
242 Citations2001Lorraine S. Evangelista, Jill Berg +1 more
It is supported that HF patients had poor compliance with dietary and exercise regimens and strategies to increase compliance should be rigorously pursued.
European Heart JournalHospitalization of patients with heart failure. A population-based study
225 Citations2002Martín Cowie
Interventions designed to reduce hospitalizations for worsening heart failure should be targeted at elderly inpatients with a new diagnosis, especially during the first months after diagnosis.
The International Journal of Psychiatry in MedicineDepressed Mood and Subjective Health Symptoms as Predictors of Mortality in Patients with Congestive Heart Failure: A Two-Years Follow-up Study
199 Citations1999Terje A. Murberg, Edvin Bru +3 more
It is indicated that depressed mood is significantly related to increased mortality risk among heart failure patients and should have implications for treatment of patients with congestive heart failure.
Nursing ResearchThe Minnesota Living With Heart Failure Questionnaire
190 Citations2002Bárbara Riegel, Debra K. Moser +8 more
The Minnesota Living With Heart Failure Questionnaire is sensitive to major differences in symptom severity but may not be sensitive to subtle differences, and is responsive to high intensity interventions.
Journal of Cardiac FailureDepression is common and precludes accurate assessment of functional status in elderly patients with congestive heart failure
156 Citations2000Christine E. Skotzko, Catherine Krichten +6 more
Although depressed individuals tended to report worse physical functioning than nondepressed individuals, objective assessment of energy expenditure was comparable, suggesting that depressed patients appear to underestimate their functional ability.
The American Journal of CardiologyConcomitant Factors of Decompensation in Chronic Heart Failure
149 Citations1996Cristina Opasich, Oreste Febo +10 more
The concomitant factors implicated in 328 nonfatal decompensations of 304 patients with congestive heart failure were: arrhythmias in 24%, infections in 23%, poor compliance in 15%, angina in 14%, iatrogenic factors in 10%, and other causes in 5% of cases.
The American Journal of CardiologyPrecipitating factors and decision-making processes of short-term worsening heart failure despite “optimal” treatment (from the IN-CHF Registry)
140 Citations2001Cristina Opasich, Claudio Rapezzi +6 more
In ambulatory HF patients, short-term worsening HF can be predicted according to the clinical characteristics on an outpatient basis, and nearly 1/3 of precipitating factors can be prevented.
JAMAThe Relationship of Treatment Adherence to the Risk of Death After Myocardial Infarction in Women
140 Citations1993E.John Gallagher
The independent effect of adherence on mortality following a myocardial infarction in women is clinically substantial, statistically significant, and similar in magnitude to that reported earlier for men.
The American Journal of CardiologyChanges in dyspnea-fatigue ratings as indicators of quality of life in the treatment of congestive heart failure
127 Citations1989Alvan R. Feinstein, Mary B. Fisher +1 more
A new clinical index of dyspnea and fatigue has been applied to rate the condition of patients with congestive heart failure, and changes in the index showed good correlations with patients' self-selected ratings of improvement.
The American Journal of Emergency MedicineMedical communication: Do our patients understand?
125 Citations2000E. Brooke Lerner, Dietrich Jehle +2 more
Emergency department patient's understanding of common medical terms used by health care providers was determined, with a significant positive independent relationship between test score and age, education, hospital site, and suburban hospital site revealed.
European Journal of Heart FailureA Qualitative Study of Chronic Heart Failure Patients’ Understanding of Their Symptoms and Drug Therapy
125 Citations2002Angie Rogers, Julia Addington‐Hall +6 more
Patients’ understanding of their symptoms and the treatment of their heart failure are explored to explore patients’Understanding of their Symptoms and the Treatment of their Heart failure.
The Journal of Heart and Lung TransplantationPerceived control reduces emotional stress in patients with heart failure
110 Citations2003Kathleen Dracup, Cheryl Westlake +4 more
It is found that patients with high perceived control had significantly greater 6-minute walk distances and less emotional distress than patients with low perceived control.
Psychosomatic MedicineCan Doctors and Nurses Recognize Depression in Patients Hospitalized With an Acute Myocardial Infarction in the Absence of Formal Screening?
102 Citations2005Roy C. Ziegelstein, So Young Kim +6 more
Cardiovascular nurses and medicine residents and interns underrecognize depression in patients with AMI in the absence of formal screening, and formal screening for symptoms of depression should be considered part of routine AMI care.
Congestive Heart FailureDepression and Congestive Heart Failure
101 Citations2003Thomas P. Guck, Gary N. Elsasser +2 more
Pharmacologically, the selective serotonin reuptake inhibitors are recommended, whereas the tricyclic antidepressants are not recommended for depression in congestive heart failure patients, and the combination with cognitive-behavior therapy is often the most effective treatment.
American Heart JournalPotential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure
98 Citations2002Jennifer B. Neily, Kathleen H. Toto +6 more
On referral to a specialty CHF clinic, many patients had severe deficiencies in their knowledge base regarding dietary sodium intake that would preclude compliance with the sodium restriction guideline.
Heart & LungDyspnea duration, distress, and intensity in emergency department visits for heart failure
92 Citations2001Mark B. Parshall, John Welsh +4 more
Dyspnea duration does not appear to be a valid criterion for judging condition severity in HF-related visits to the ED, and subjects reported high levels of distress and intensity at Decision, regardless of dyspneaduration.
Applied Nursing ResearchWhat do patients know about their heart failure?
85 Citations2002Nancy T. Artinian, Morris A. Magnan +2 more
If nurses are going to be instrumental in helping heart failure patients achieve positive health outcomes, creative strategies to provide information and increase the knowledge necessary to produce HF self-care need to be developed and tested.
American Heart JournalIs specialty care associated with improved survival of patients with congestive heart failure?
71 Citations2003Ólafur S. Indridason, Cynthia J. Coffman +1 more
An improved survival associated with cardiologist care and a mixture of general practitioner and cardiology care compared with general practitioner care is found.
Journal of General Internal MedicineMedication education of acutely hospitalized older patients
63 Citations1999Shabbir M.H. Alibhai, Ra K. Han +1 more
Although older hospitalized patients received little medication education or written information and made many medication errors with and without medication education, approximately one half of physicians perceived no barriers to providing education.
Australian and New Zealand Journal of MedicineUncovering a multitude of sins: medication management in the home post acute hospitalisation among the chronically ill
60 Citations1999Simon Stewart, Sue Pearson
Assessment of medication management in the home provides an invaluable opportunity to detect and address problems likely to result in poorer health outcomes.
American Journal of Critical CareComparison of anxiety assessments between clinicians and patients with acute myocardial infarction in cardiac critical care units
60 Citations2001Jennifer L. O’Brien, Debra K. Moser +4 more
Anxiety was not routinely assessed in patients with acute myocardial infarction, despite nearly half the patients reporting moderate to extreme anxiety when asked, and when clinicians assessed anxiety, their assessments did not match patients' self-ratings of anxiety.
European Journal of Heart FailurePharmacological Treatment in Patients with Heart Failure: Patients Knowledge and Occurrence of Polypharmacy, Alternative Medicine and Immunizations
56 Citations2003Manuel Martínez‐Sellés, José Antonio García Robles +5 more
To evaluate in patients with heart failure (HF) due to systolic dysfunction the occurrence of polypharmacy, alternative medicine, immunization against influenza, and patients’ knowledge about their medication.
Journal of Emergency NursingCharacteristics and treatment of patients with heart failure in the emergency department
53 Citations2002John Welsh, Regina M. Heiser +5 more
It is suggested that hospital lengths of stay of no more than 2 days suggest that early detection and treatment of acute heart failure may reduce the need for ED visits for some patients.
European Journal of Heart FailureDetecting Early Clinical Deterioration in Chronic Heart Failure Patients Post-Acute Hospitalisation—A Critical Component of Multidisciplinary, Home-Based Intervention?
53 Citations2002Simon Stewart, John D. Horowitz
The prevalence, characteristics and consequences of early clinical deterioration in chronic heart failure patients discharged from acute hospital care are described and the potential benefits of a multidisciplinary, home‐based intervention in limiting the common sequelae of such deterioration are examined.
HeartPrevention of relapse in patients with congestive heart failure: the role of precipitating factors
53 Citations1998J Feenstra, D.E. Grobbee +3 more
In conclusion, the identification of precipitating factors for relapse of CHF may strongly contribute to optimal treatment and offer important possibilities to clinicians to reduce the number of relapses in patients with CHF.
Annual Review of Nursing ResearchHeart Failure Management: Optimal Health Care Delivery Programs
40 Citations2000Debra K. Moser
This chapter summarizes findings from studies of heart failure disease management programs from 1980 to the present, critiques those studies, and offers suggestions for future research in this area.
QJMOne-year follow-up of heart failure patients after their first admission
38 Citations2004Francesç Formiga, David Chivite +4 more
The prognosis of unselected new cases of heart failure after their first hospitalization remains relatively poor, despite recent advances in pharmacological therapy and medical care.
European Journal of Heart FailureThe Basics of Heart Failure Management: Are they Being Ignored?
36 Citations2000Mairead Horan, Fionnula Barrett +4 more
There is concern that changes in the medical management of congestive heart failure may not be transmitted to the heart failure population in the community because of impediments to improved prognosis.
European Journal of Heart FailureDepression and Congestive Heart Failure: Are Antidepressants Underutilized?
31 Citations2003Sony Jacob, Justin Sebastian +1 more
PubMedReadmission of older heart failure patients.
30 Citations1996Tiny Jaarsma, Ruud J.G. Halfens +1 more
An overview of the literature on factors associated with hospital readmission of older heart failure patients is provided to prevent readmission and interventions in the area of discharge planning, patient education and follow-up are recommended.
