scholarly journals Hierarchical management of chronic heart failure: a perspective based on the latent structure of comorbidities

2021 ◽  
Author(s):  
Chu Zheng ◽  
Linai Han ◽  
Jing Tian ◽  
Jing Li ◽  
Hangzhi He ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Latent Structure ◽  
Hierarchical Management

scholarly journals A Hospital-Community-Family–Based Telehealth Program for Patients With Chronic Heart Failure: Single-Arm, Prospective Feasibility Study (Preprint)

2018 ◽  
Author(s):  
Xiaorong Guo ◽  
Xiang Gu ◽  
Jiang Jiang ◽  
Hongxiao Li ◽  
Ruoyu Duan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Vegetable Intake ◽  
Mobile App ◽  
Text Messages ◽  
Ease Of Use ◽  
Care Plan ◽  
Self Management ◽  
Number Of Patients ◽  
Hierarchical Management

BACKGROUND An increasing number of patients with chronic heart failure (CHF) are demanding more convenient and efficient modern health care systems, especially in remote areas away from central cities. Telehealth is receiving increasing attention, which may be useful to patients with CHF. OBJECTIVE This study aimed to evaluate the feasibility of a hospital-community-family (HCF)–based telehealth program, which was designed to implement remote hierarchical management in patients with CHF. METHODS This was a single-arm prospective study in which 70 patients with CHF participated in the HCF-based telehealth program for remote intervention for at least 4 months. The participants were recruited from the clinic and educated on the use of smart health tracking devices and mobile apps to collect and manually upload comprehensive data elements related to the risk of CHF self-care management. They were also instructed on how to use the remote platform and mobile app to send text messages, check notifications, and open video channels. The general practitioners viewed the index of each participant on the mobile app and provided primary care periodically, and cardiologists in the regional central hospital offered remote guidance, if necessary. The assessed outcomes included accomplishments of the program, usability and satisfaction, engagement with the intervention, and changes of heart failure–related health behaviors. RESULTS As of February 2018, a total of 66 individuals, aged 40-79 years, completed the 4-month study. Throughout the study period, 294 electronic medical records were formed on the remote monitoring service platform. In addition, a total of 89 remote consultations and 196 remote ward rounds were conducted. Participants indicated that they were generally satisfied with the intervention for its ease of use and usefulness. More than 91% (21/23) of physicians believed the program was effective, and 87% (20/23) of physicians stated that their professional knowledge could always be refreshed and enhanced through a library hosted on the platform and remote consultation. More than 60% (40/66) of participants showed good adherence to the care plan in the study period, and 79% (52/66) of patients maintained a consistent pattern of reporting and viewing their data over the course of the 4-month follow-up period. The program showed a positive effect on self-management for patients (healthy diet: <italic>P</italic>=.046, more fruit and vegetable intake: <italic>P</italic>=.02, weight monitoring: <italic>P</italic>=.002, blood pressure: <italic>P</italic>&lt;.001, correct time: <italic>P</italic>=.049, and daily dosages of medicine taken: <italic>P</italic>=.006). CONCLUSIONS The HCF-based telehealth program is feasible and provided researchers with evidence of remote hierarchical management for patients with CHF, which can enhance participants’ and their families’ access and motivation to engage in self-management. Further prospective studies with a larger sample size are necessary to confirm the program’s effectiveness.

scholarly journals A Hospital-Community-Family–Based Telehealth Program for Patients With Chronic Heart Failure: Single-Arm, Prospective Feasibility Study

10.2196/13229 ◽  
2019 ◽  
Vol 7 (12) ◽  
pp. e13229 ◽  
Author(s):  
Xiaorong Guo ◽  
Xiang Gu ◽  
Jiang Jiang ◽  
Hongxiao Li ◽  
Ruoyu Duan ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Vegetable Intake ◽  
Mobile App ◽  
Text Messages ◽  
Ease Of Use ◽  
Care Plan ◽  
Self Management ◽  
Number Of Patients ◽  
Hierarchical Management

Background An increasing number of patients with chronic heart failure (CHF) are demanding more convenient and efficient modern health care systems, especially in remote areas away from central cities. Telehealth is receiving increasing attention, which may be useful to patients with CHF. Objective This study aimed to evaluate the feasibility of a hospital-community-family (HCF)–based telehealth program, which was designed to implement remote hierarchical management in patients with CHF. Methods This was a single-arm prospective study in which 70 patients with CHF participated in the HCF-based telehealth program for remote intervention for at least 4 months. The participants were recruited from the clinic and educated on the use of smart health tracking devices and mobile apps to collect and manually upload comprehensive data elements related to the risk of CHF self-care management. They were also instructed on how to use the remote platform and mobile app to send text messages, check notifications, and open video channels. The general practitioners viewed the index of each participant on the mobile app and provided primary care periodically, and cardiologists in the regional central hospital offered remote guidance, if necessary. The assessed outcomes included accomplishments of the program, usability and satisfaction, engagement with the intervention, and changes of heart failure–related health behaviors. Results As of February 2018, a total of 66 individuals, aged 40-79 years, completed the 4-month study. Throughout the study period, 294 electronic medical records were formed on the remote monitoring service platform. In addition, a total of 89 remote consultations and 196 remote ward rounds were conducted. Participants indicated that they were generally satisfied with the intervention for its ease of use and usefulness. More than 91% (21/23) of physicians believed the program was effective, and 87% (20/23) of physicians stated that their professional knowledge could always be refreshed and enhanced through a library hosted on the platform and remote consultation. More than 60% (40/66) of participants showed good adherence to the care plan in the study period, and 79% (52/66) of patients maintained a consistent pattern of reporting and viewing their data over the course of the 4-month follow-up period. The program showed a positive effect on self-management for patients (healthy diet: P=.046, more fruit and vegetable intake: P=.02, weight monitoring: P=.002, blood pressure: P<.001, correct time: P=.049, and daily dosages of medicine taken: P=.006). Conclusions The HCF-based telehealth program is feasible and provided researchers with evidence of remote hierarchical management for patients with CHF, which can enhance participants’ and their families’ access and motivation to engage in self-management. Further prospective studies with a larger sample size are necessary to confirm the program’s effectiveness.

Statin Therapy Offers No Benefit in Chronic Heart Failure

2008 ◽  
Vol 41 (19) ◽  
pp. 36
Author(s):  
BRUCE JANCIN
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Statin Therapy

85 The value of repeated measurement of N-terminal pro-B-type natriuretic peptide for prognostic stratification in chronic heart failure

2007 ◽  
Vol 6 (1) ◽  
pp. 18-19
Author(s):  
M KUBANEK ◽  
K GOODE ◽  
A RABSHAIKH ◽  
I HANNING ◽  
A CLARK ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Natriuretic Peptide ◽  
Repeated Measurement ◽  
Prognostic Stratification

79 Serum tumor necrosis-alpha levels upon discharge predict 180-day mortality in patients hospitalized for acute decompensated chronic heart failure

2007 ◽  
Vol 6 (1) ◽  
pp. 16-17
Author(s):  
D MYTAS ◽  
M ZAIRIS ◽  
K KONTOS ◽  
M PRODROMITI ◽  
P BATIKAZAIRI ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Tumor Necrosis ◽  
Serum Tumor Necrosis

689 The activation of the NF-kappaB system in chronic heart failure

2003 ◽  
Vol 2 (1) ◽  
pp. 141-142
Author(s):  
E JANKOWSKA ◽  
A CZARNY ◽  
E ZACZYNSKA ◽  
W BANASIAK ◽  
S ANKER ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Nf Kappab
Sign in / Sign up

Export Citation Format

Share Document