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  • Επιστημονικές Δημοσιεύσεις Μελών ΠΘ (ΕΔΠΘ)
  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ.
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Patient-Reported Selective Adherence to Heart Failure Self-Care Recommendations: A Prospective Cohort Study: The Atlanta Cardiomyopathy Consortium

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Autor
Marti, C. N.; Georgiopoulou, V. V.; Giamouzis, G.; Cole, R. T.; Deka, A.; Tang, W. H. W.; Dunbar, S. B.; Smith, A. L.; Kalogeropoulos, A. P.; Butler, J.
Fecha
2013
DOI
10.1111/j.1751-7133.2012.00308.x
Materia
alcohol
aldosterone antagonist
angiotensin receptor antagonist
beta adrenergic receptor blocking agent
dipeptidyl carboxypeptidase inhibitor
diuretic agent
hydralazine
isosorbide dinitrate
adult
alcohol consumption
article
body weight
controlled clinical trial
controlled study
death
defibrillator pacemaker
diet
exercise
female
health care utilization
health status
heart ejection fraction
heart failure
heart transplantation
hospitalization
human
major clinical study
male
patient compliance
priority journal
questionnaire
rating scale
self care
self report
smoking
symptom
ventricular assist device
walking
Follow-Up Studies
Georgia
Humans
Middle Aged
Prospective Studies
Quality of Life
Questionnaires
Mostrar el registro completo del ítem
Resumen
Simultaneous adherence with multiple self-care instructions among heart failure (HF) patients is not well described. Patient-reported adherence to 8 recommendations related to exercise, alcohol, medications, smoking, diet, weight, and symptoms was assessed among 308 HF patients using the Medical Outcomes Study Specific Adherence Scale questionnaire (0="never" to 5="always," maximum score=40). A baseline cumulative score of ≥32/40 (average ≥80%) defined good adherence. Clinical events (death/transplantation/ventricular assist device), resource utilization, functional capacity (6-minute walk distance), and health status (Kansas City Cardiomyopathy Questionnaire [KCCQ]) were compared among patients with and without good adherence. The mean follow-up was 2.0±1.0years, and adherence ranged from 26.3% (exercise) to 89.9% (medications). A cumulative score indicating good adherence was reported by 35.7%, whereas good adherence with every behavior was reported by 9.1% of patients. Good adherence was associated with fewer hospitalizations (all-cause 87.8 vs 107.6; P=.018; HF 29.6 vs 43.8; P=.007) and hospitalized days (all-cause 422 vs 465; P=.015; HF 228 vs 282; P<.001) per 100-person-years and better health status (KCCQ overall score 70.1±24.6 vs 63.8±22.8; P=.011). Adherence was not associated with clinical events or functional capacity. Patient-reported adherence with HF self-care recommendations is alarmingly low and selective. Good adherence was associated with lower resource utilization and better health status. © 2012 Wiley Periodicals, Inc.
URI
http://hdl.handle.net/11615/30755
Colecciones
  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ. [19735]

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