open access

Vol 64, No 10 (2006)
Other
Published online: 2006-10-31
Submitted: 2012-12-28
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Original article
A new programme of multidisciplinary care for patients with heart failure in Poznań: one-year follow-up

Michał Wierzchowiecki, Kajetan Poprawski, Anna Nowicka, Magdalena Kandziora, Anna Piątkowska, Maciej Jankowiak, Barbara Michałowicz, Włodzimierz Stawski, Małgorzata Dziamska, Dorota Kaszuba, Katarzyna Szymanowska, Marek Michalski
Kardiol Pol 2006;64(10):1063-1070.

open access

Vol 64, No 10 (2006)
Other
Published online: 2006-10-31
Submitted: 2012-12-28

Abstract

Introduction: Recent trials have demonstrated the effectiveness of multidisciplinary care (MDC) for patients with chronic heart failure (CHF). However, results of the assessment of different programmes in individual countries could be different because of local specificities of health care systems. Aim: We sought to determine whether MDC for patients with CHF has an influence on mortality, rate of rehospitalisation, quality of life (QoL) and self-care (SC) during a one-year study period. Methods: 160 patients with CHF treated in our unit were randomly assigned to receive either MDC or routine care (RC). Patients from the MDC group (n=80; mean age 67±10.2 years) attended follow-up visits at the heart failure clinic after 14 days and 3, 6, 9 and 12 months after discharge. They were cared for by a team which consisted of a cardiologist, a heart failure nurse (HF nurse), a psychologist and a physiotherapist. This group of patients received comprehensive education from the HF nurse and the cardiologist. Telephone counselling and home-based interventions by the HF nurse were also available daily. Patients from the RC group (n=80, mean age 69.5±10.7 years) were cared for by their primary care physician only. In both groups QoL and SC scores were calculated based on a 21 and 12-item questionnaire completed by the patients at discharge and after one year. Results: After one-year follow-up the two groups did not differ in terms of either total and HF mortality or number of sudden deaths. In the MDC group when compared to the RC group we observed a significant decrease in the total number of hospital readmissions (by 37%, p

Abstract

Introduction: Recent trials have demonstrated the effectiveness of multidisciplinary care (MDC) for patients with chronic heart failure (CHF). However, results of the assessment of different programmes in individual countries could be different because of local specificities of health care systems. Aim: We sought to determine whether MDC for patients with CHF has an influence on mortality, rate of rehospitalisation, quality of life (QoL) and self-care (SC) during a one-year study period. Methods: 160 patients with CHF treated in our unit were randomly assigned to receive either MDC or routine care (RC). Patients from the MDC group (n=80; mean age 67±10.2 years) attended follow-up visits at the heart failure clinic after 14 days and 3, 6, 9 and 12 months after discharge. They were cared for by a team which consisted of a cardiologist, a heart failure nurse (HF nurse), a psychologist and a physiotherapist. This group of patients received comprehensive education from the HF nurse and the cardiologist. Telephone counselling and home-based interventions by the HF nurse were also available daily. Patients from the RC group (n=80, mean age 69.5±10.7 years) were cared for by their primary care physician only. In both groups QoL and SC scores were calculated based on a 21 and 12-item questionnaire completed by the patients at discharge and after one year. Results: After one-year follow-up the two groups did not differ in terms of either total and HF mortality or number of sudden deaths. In the MDC group when compared to the RC group we observed a significant decrease in the total number of hospital readmissions (by 37%, p
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Keywords

chronic heart failure; multidisciplinary care programme; Heart Failure Clinic; mortality; hospitalisations; quality of life; self-care

About this article
Title

Original article
A new programme of multidisciplinary care for patients with heart failure in Poznań: one-year follow-up

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 10 (2006)

Pages

1063-1070

Published online

2006-10-31

Bibliographic record

Kardiol Pol 2006;64(10):1063-1070.

Keywords

chronic heart failure
multidisciplinary care programme
Heart Failure Clinic
mortality
hospitalisations
quality of life
self-care

Authors

Michał Wierzchowiecki
Kajetan Poprawski
Anna Nowicka
Magdalena Kandziora
Anna Piątkowska
Maciej Jankowiak
Barbara Michałowicz
Włodzimierz Stawski
Małgorzata Dziamska
Dorota Kaszuba
Katarzyna Szymanowska
Marek Michalski

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