Implementation of Beta-Blockade in Elderly Heart Failure Patients: Role of the Nurse Specialist
| Autor: | Renata De Maria, S. Pirelli, S. Verde, Giovanna Vella, Carlo Bianchi, Miriam Mariani |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Outpatient Clinics Hospital Digoxin Adrenergic beta-Antagonists Amiodarone Nurse's Role Patient Care Planning Patient Education as Topic Nursing Heart rate medicine Humans Medical prescription Carvedilol Aged Heart Failure Advanced and Specialized Nursing business.industry Airways disease Age Factors Middle Aged medicine.disease Drug Utilization Blockade Medical–Surgical Nursing Logistic Models Italy Heart failure Patient Compliance Female Guideline Adherence Drug Monitoring Nurse Clinicians Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | European Journal of Cardiovascular Nursing. 7:196-203 |
| ISSN: | 1873-1953 1474-5151 |
| DOI: | 10.1016/j.ejcnurse.2007.09.006 |
| Popis: | Background: Beta-blockers (BB) are under prescribed in elderly heart failure (HF) patients. We analysed predictors of BB treatment in relation to age in community patients seen at an HF clinic with nurse specialist support.Methods: BB prescription was assessed in 357 subjects, in relation to age tertiles:< 67 (n = 120), 67–73 (n = 105) and ≥ 74 years (n = 119).Results: 305 patients (85%) took BB at a median carvedilol-equivalent daily dose of 12.5 [12.5–25] mg. Patients ≥ 74 years received significantly less BB (78% vs 93% and 85%, p = 0.002) and at lower doses than subjects aged < 67 and 67–73 years (12.5 [6.25–20] mg vs 25 [12.5–32] and 12.5 [12.5–25], p = 0.002). Older age, chronic obstructive airways disease, amiodarone, digoxin and baseline heart rate were independently associated with non-prescription of BB.Conclusion: Although older age is associated with non-prescription of BB, BB can be implemented in an outpatient HF clinic with nurse specialist support even in elderly patients. although lower d... |
| Databáze: | OpenAIRE |
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