| Autor: |
Rajiv Sankaranarayanan, Debar Rasoul, Naomi Murphy, AnneMarie Kelly, Siji Nyjo, Carolyn Jackson, Jane O'Connor, Peter Almond, Nisha Jose, Jenni West, Rosie Kaur, Chukwemeka Oguguo, Homeyra Douglas, Gregory Y.H. Lip |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
ESC Heart Failure, Vol 11, Iss 6, Pp 4172-4184 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2055-5822 |
| DOI: |
10.1002/ehf2.15003 |
| Popis: |
Abstract Aims The aim of this propensity score matched cohort study was to assess the outcomes of telehealth‐guided outpatient management of acute heart failure (HF) in our virtual ward (HFVW) compared with hospitalized acute HF patients. Methods and results This cohort study (May 2022–October 2023) assessed outcomes of telehealth‐guided outpatient acute HF management using bolus intravenous furosemide in a HF‐specialist VW. Propensity score matching (PSM) was performed using logistic regression to adjust for potential differences in baseline patient characteristics between HFVW and standard care [Get With The Guidelines‐HF score, clinical frailty score (CFS), Charlson co‐morbidity index (CCI), NT‐proBNP, and ejection fraction]. Clinical outcomes (re‐hospitalizations and mortality) were compared at 1, 3, 6, and 12 months versus standard care‐SC (acute HF patients managed without telehealth in 2021). Five hundred fifty‐four HFVW ADHF patients (age 73.1 ± 10.9 years; 46% female) were compared with 404 ADHF patients (74.2 ± 11.8; P = 0.15 and 49% female) in the standard care‐SC cohort. After propensity score matching for baseline patient characteristics, re‐hospitalizations were significantly lower in the HFVW compared with SC (1 month‐HFVW 8.6% vs. SC‐21.5%, P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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