HEART FAILURE
Multidisciplinary strategies for the management of heart failure patients at high risk for admission
A systematic review of randomized trials
Finlay A. McAlister, MD, MSc, FRCPC*,*,
Simon Stewart, PhD, FESC, FAHA ,
Stefania Ferrua, MD and
John J.J.V. McMurray, MD, FESC, FACC
* Division of General Internal Medicine, University of Alberta, Edmonton, Canada
Division of Health Sciences, University of South Australia, Adelaide,Australia
Divisione Universitaria di Cardiologia Azienda Ospedaliera San Giovanni Battista Corso Dogliotti, Torino, Italy
Department of Cardiology, Western Infirmary, Glasgow, United Kingdom
Manuscript received January 20, 2004;
revised manuscript received April 8, 2004,
accepted May 11, 2004.
* Reprint requests and correspondence: Dr. Finlay A. McAlister, 2E3.24 WMC, University of Alberta Hospital, 8440 112 Street, Edmonton, Alberta, Canada T6G 2R7 (Email: Finlay.McAlister{at}ualberta.ca).
OBJECTIVES: The aim of this study was to determine whether multidisciplinary strategies improve outcomes for heart failure (HF) patients.
BACKGROUND: Because the prognosis of HF remains poor despite pharmacotherapy, there is increasing interest in alternative models of care delivery for these patients.
METHODS: Randomized trials of multidisciplinary management programs in HF were identified by searching electronic databases and bibliographies and via contact with experts.
RESULTS: Twenty-nine trials (5,039 patients) were identified but were not pooled, because of considerable heterogeneity. A priori, we divided the interventions into homogeneous groups that were suitable for pooling. Strategies that incorporated follow-up by a specialized multidisciplinary team (either in a clinic or a non-clinic setting) reduced mortality (risk ratio [RR] 0.75, 95% confidence interval [CI] 0.59 to 0.96), HF hospitalizations (RR 0.74, 95% CI 0.63 to 0.87), and all-cause hospitalizations (RR 0.81, 95% CI 0.71 to 0.92). Programs that focused on enhancing patient self-care activities reduced HF hospitalizations (RR 0.66, 95% CI 0.52 to 0.83) and all-cause hospitalizations (RR 0.73, 95% CI 0.57 to 0.93) but had no effect on mortality (RR 1.14, 95% CI 0.67 to 1.94). Strategies that employed telephone contact and advised patients to attend their primary care physician in the event of deterioration reduced HF hospitalizations (RR 0.75, 95% CI 0.57 to 0.99) but not mortality (RR 0.91, 95% CI 0.67 to 1.29) or all-cause hospitalizations (RR 0.98, 95% CI 0.80 to 1.20). In 15 of 18 trials that evaluated cost, multidisciplinary strategies were cost-saving.
CONCLUSIONS: Multidisciplinary strategies for the management of patients with HF reduce HF hospitalizations. Those programs that involve specialized follow-up by a multidisciplinary team also reduce mortality and all-cause hospitalizations.
|
Abbreviations and Acronyms
| | CI = confidence interval | | HF = heart failure | | NNT = number needed to treat | | RR = risk ratio |
|
This article has been cited by other articles:
|
|
|
|
 
R. Berger, D. Moertl, S. Peter, R. Ahmadi, M. Huelsmann, S. Yamuti, B. Wagner, and R. Pacher
N-Terminal Pro-B-Type Natriuretic Peptide-Guided, Intensive Patient Management in Addition to Multidisciplinary Care in Chronic Heart Failure: A 3-Arm, Prospective, Randomized Pilot Study
J. Am. Coll. Cardiol.,
February 16, 2010;
55(7):
645 - 653.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. J. Carrington, S. Stewart, and on behalf of the NIL-CHF Study Investigators
Bridging the gap in heart failure prevention: rationale and design of the Nurse-led Intervention for Less Chronic Heart Failure (NIL-CHF) Study
Eur J Heart Fail,
January 1, 2010;
12(1):
82 - 88.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. M. Hawkins, P. S. Jhund, C. R. Simpson, M. C. Petrie, M. R. MacDonald, F. G. Dunn, K. MacIntyre, and J. J.V. McMurray
Primary care burden and treatment of patients with heart failure and chronic obstructive pulmonary disease in Scotland
Eur J Heart Fail,
January 1, 2010;
12(1):
17 - 24.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A Driscoll, L Worrall-Carter, D L Hare, P M Davidson, B Riegel, A Tonkin, and S Stewart
Evidence-based chronic heart failure management programs: reality or myth?
Qual. Saf. Health Care,
December 1, 2009;
18(6):
450 - 455.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. Mendoza, M. J. Martin, A. Garcia, F. Aros, F. Aizpuru, J. Regalado De Los Cobos, M. C. Bello, P. Lopetegui, and J. M. Cia
'Hospital at home' care model as an effective alternative in the management of decompensated chronic heart failure
Eur J Heart Fail,
December 1, 2009;
11(12):
1208 - 1213.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Klersy, A. De Silvestri, G. Gabutti, F. Regoli, and A. Auricchio
A meta-analysis of remote monitoring of heart failure patients.
J. Am. Coll. Cardiol.,
October 27, 2009;
54(18):
1683 - 1694.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
V. Tibaldi, G. Isaia, C. Scarafiotti, F. Gariglio, M. Zanocchi, M. Bo, S. Bergerone, and N. A. Ricauda
Hospital at Home for Elderly Patients With Acute Decompensation of Chronic Heart Failure: A Prospective Randomized Controlled Trial
Arch Intern Med,
September 28, 2009;
169(17):
1569 - 1575.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Riegel, D. K. Moser, S. D. Anker, L. J. Appel, S. B. Dunbar, K. L. Grady, M. Z. Gurvitz, E. P. Havranek, C. S. Lee, J. Lindenfeld, et al.
State of the Science: Promoting Self-Care in Persons With Heart Failure: A Scientific Statement From the American Heart Association
Circulation,
September 22, 2009;
120(12):
1141 - 1163.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. M. Clark, L. A. Savard, and D. R. Thompson
What is the strength of evidence for heart failure disease-management programs?
J. Am. Coll. Cardiol.,
July 28, 2009;
54(5):
397 - 401.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. C. Chan, P. K. Pollett, and M. C. Weinstein
Quantitative Risk Stratification in Markov Chains with Limiting Conditional Distributions
Med Decis Making,
July 1, 2009;
29(4):
532 - 540.
[Abstract]
[PDF]
|
|
|
|
|
|
|
U C Hoppe, M Vanderheyden, H Sievert, M C Brandt, R Tobar, W Wijns, and Y Rozenman
Chronic monitoring of pulmonary artery pressure in patients with severe heart failure: multicentre experience of the monitoring Pulmonary Artery Pressure by Implantable device Responding to Ultrasonic Signal (PAPIRUS) II study
Heart,
July 1, 2009;
95(13):
1091 - 1097.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Miller, S. Randolph, E. Forkner, B. Smith, and A. D. Galbreath
Long-Term Cost-Effectiveness of Disease Management in Systolic Heart Failure
Med Decis Making,
May 1, 2009;
29(3):
325 - 333.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma, J. M. Beattie, M. Ryder, F. H. Rutten, T. McDonagh, P. Mohacsi, S. A. Murray, T. Grodzicki, I. Bergh, M. Metra, et al.
Palliative care in heart failure: a position statement from the palliative care workshop of the Heart Failure Association of the European Society of Cardiology
Eur J Heart Fail,
May 1, 2009;
11(5):
433 - 443.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. A. Hunt, W. T. Abraham, M. H. Chin, A. M. Feldman, G. S. Francis, T. G. Ganiats, M. Jessup, M. A. Konstam, D. M. Mancini, K. Michl, et al.
2009 Focused Update Incorporated Into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation
J. Am. Coll. Cardiol.,
April 14, 2009;
53(15):
e1 - e90.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Jessup, W. T. Abraham, D. E. Casey, A. M. Feldman, G. S. Francis, T. G. Ganiats, M. A. Konstam, D. M. Mancini, P. S. Rahko, M. A. Silver, et al.
2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation
J. Am. Coll. Cardiol.,
April 14, 2009;
53(15):
1343 - 1382.
[Full Text]
[PDF]
|
|
|
|
|
|
|
2009 WRITING GROUP TO REVIEW NEW EVIDENCE AND UPDA, M. Jessup, W. T. Abraham, D. E. Casey, A. M. Feldman, G. S. Francis, T. G. Ganiats, M. A. Konstam, D. M. Mancini, P. S. Rahko, et al.
2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: Developed in Collaboration With the International Society for Heart and Lung Transplantation
Circulation,
April 14, 2009;
119(14):
1977 - 2016.
[Full Text]
[PDF]
|
|
|
|
|
|
|
2005 WRITING COMMITTEE MEMBERS, S. A. Hunt, W. T. Abraham, M. H. Chin, A. M. Feldman, G. S. Francis, T. G. Ganiats, M. Jessup, M. A. Konstam, D. M. Mancini, et al.
2009 Focused Update Incorporated Into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: Developed in Collaboration With the International Society for Heart and Lung Transplantation
Circulation,
April 14, 2009;
119(14):
e391 - e479.
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. Gustafsson, M. Schou, L. Videbaek, N. Dridi, H. Ryde, J. Handberg, P. R. Hildebrandt, and on behalf of the Danish Heart Failure Clinics Netw
Incidence and predictors of hospitalization or death in patients managed in multidisciplinary heart failure clinics
Eur J Heart Fail,
April 1, 2009;
11(4):
413 - 419.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T.A. McDonagh
Delivering heart failure care
Eur J Heart Fail Suppl,
April 1, 2009;
8(suppl_1):
i30 - i32.
[Full Text]
[PDF]
|
|
|
|
|
|
|
O. Dar, J. Riley, C. Chapman, S. W. Dubrey, S. Morris, S. D. Rosen, M. Roughton, and M. R. Cowie
A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study
Eur J Heart Fail,
March 1, 2009;
11(3):
319 - 325.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Mortara, G. D. Pinna, P. Johnson, R. Maestri, S. Capomolla, M. T. La Rovere, P. Ponikowski, L. Tavazzi, P. Sleight, and on behalf of the HHH Investigators
Home telemonitoring in heart failure patients: the HHH study (Home or Hospital in Heart Failure)
Eur J Heart Fail,
March 1, 2009;
11(3):
312 - 318.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Peikes, A. Chen, J. Schore, and R. Brown
Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries: 15 Randomized Trials
JAMA,
February 11, 2009;
301(6):
603 - 618.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. S. Jhund, K. MacIntyre, C. R. Simpson, J. D. Lewsey, S. Stewart, A. Redpath, J. W.T. Chalmers, S. Capewell, and J. J.V. McMurray
Long-Term Trends in First Hospitalization for Heart Failure and Subsequent Survival Between 1986 and 2003: A Population Study of 5.1 Million People
Circulation,
February 3, 2009;
119(4):
515 - 523.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. A. Ezekowitz
What Price to Pay?: The Cost of Everything and the Value of Nothing
Circulation,
January 27, 2009;
119(3):
368 - 370.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma, K. F. Arestedt, J. Martensson, K. Dracup, and A. Stromberg
The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument
Eur J Heart Fail,
January 1, 2009;
11(1):
99 - 105.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Sochalski, T. Jaarsma, H. M. Krumholz, A. Laramee, J. J.V. McMurray, M. D. Naylor, M. W. Rich, B. Riegel, and S. Stewart
What Works In Chronic Care Management: The Case Of Heart Failure
Health Aff.,
January 1, 2009;
28(1):
179 - 189.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart, D. Wilkinson, C. Hansen, V. Vaghela, R. Mvungi, J. McMurray, and K. Sliwa
Predominance of Heart Failure in the Heart of Soweto Study Cohort: Emerging Challenges for Urban African Communities
Circulation,
December 2, 2008;
118(23):
2360 - 2367.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. H. Balk, W. Davidse, P. van Dommelen, E. Klaassen, K. Caliskan, P. van der Burgh, and C. M. Leenders
Tele-guidance of chronic heart failure patients enhances knowledge about the disease. A multi-centre, randomised controlled study
Eur J Heart Fail,
November 1, 2008;
10(11):
1136 - 1142.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Authors/Task Force Members, K. Dickstein, A. Cohen-Solal, G. Filippatos, J. J.V. McMurray, P. Ponikowski, P. A. Poole-Wilson, A. Stromberg, D. J. van Veldhuisen, D. Atar, et al.
ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM)
Eur. Heart J.,
October 1, 2008;
29(19):
2388 - 2442.
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Dickstein, A. Cohen-Solal, G. Filippatos, J. J.V. McMurray, P. Ponikowski, P. A. Poole-Wilson, A. Stromberg, D. J. van Veldhuisen, D. Atar, A. W. Hoes, et al.
ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM)
Eur J Heart Fail,
October 1, 2008;
10(10):
933 - 989.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Gohler, A. Conrads-Frank, S. S. Worrell, B. P. Geisler, E. F. Halpern, R. Dietz, S. D. Anker, G. S. Gazelle, and U. Siebert
Decision-analytic evaluation of the clinical effectiveness and cost-effectiveness of management programmes in chronic heart failure
Eur J Heart Fail,
October 1, 2008;
10(10):
1026 - 1032.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. K. Nallamothu, R. A. Hayward, and E. R. Bates
Beyond the Randomized Clinical Trial: The Role of Effectiveness Studies in Evaluating Cardiovascular Therapies
Circulation,
September 16, 2008;
118(12):
1294 - 1303.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Givertz
Therapeutic Strategies in Heart Failure
Circulation,
July 22, 2008;
118(4):
e76 - e77.
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. A. Bocchi, F. Cruz, G. Guimaraes, L. F. Pinho Moreira, V. S. Issa, S. M. Ayub Ferreira, P. R. Chizzola, G. E. C. Souza, S. Brandao, and F. Bacal
Long-Term Prospective, Randomized, Controlled Study Using Repetitive Education at Six-Month Intervals and Monitoring for Adherence in Heart Failure Outpatients: The REMADHE Trial
Circ Heart Fail,
July 1, 2008;
1(2):
115 - 124.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C P Denaro and A Mudge
Should geriatric medicine remain a specialty? No
BMJ,
June 30, 2008;
337(jun30_1):
a515 - a515.
[Full Text]
|
|
|
|
|
|
|
F. S. Mair, J. Hiscock, and S. C. Beaton
Understanding factors that inhibit or promote the utilization of telecare in chronic lung disease
Chronic Illness,
June 1, 2008;
4(2):
110 - 117.
[Abstract]
[PDF]
|
|
|
|
|
|
|
N. Azad, F. Molnar, and A. Byszewski
Lessons learned from a multidisciplinary heart failure clinic for older women: a randomised controlled trial
Age Ageing,
May 1, 2008;
37(3):
282 - 287.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. L. Koshman, T. L. Charrois, S. H. Simpson, F. A. McAlister, and R. T. Tsuyuki
Pharmacist Care of Patients With Heart Failure: A Systematic Review of Randomized Trials
Arch Intern Med,
April 14, 2008;
168(7):
687 - 694.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Paul
Hospital Discharge Education for Patients With Heart Failure: What Really Works and What Is the Evidence?
Crit. Care Nurse,
April 1, 2008;
28(2):
66 - 82.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma and D. J. van Veldhuisen
When, how and where should we "coach" patients with heart failure: The COACH results in perspective
Eur J Heart Fail,
April 1, 2008;
10(4):
331 - 333.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. C. Bourge, W. T. Abraham, P. B. Adamson, M. F. Aaron, J. M. Aranda Jr, A. Magalski, M. R. Zile, A. L. Smith, F. W. Smart, M. A. O'Shaughnessy, et al.
Randomized controlled trial of an implantable continuous hemodynamic monitor in patients with advanced heart failure: the COMPASS-HF study.
J. Am. Coll. Cardiol.,
March 18, 2008;
51(11):
1073 - 1079.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma, M. H. L. van der Wal, I. Lesman-Leegte, M.-L. Luttik, J. Hogenhuis, N. J. Veeger, R. Sanderman, A. W. Hoes, W. H. van Gilst, D. J. A. Lok, et al.
Effect of Moderate or Intensive Disease Management Program on Outcome in Patients With Heart Failure: Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH)
Arch Intern Med,
February 11, 2008;
168(3):
316 - 324.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Qaseem, V. Snow, P. Shekelle, D. E. Casey Jr., J. T. Cross Jr., D. K. Owens, and for the Clinical Efficacy Assessment Subcommittee
Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline from the American College of Physicians
Ann Intern Med,
January 15, 2008;
148(2):
141 - 146.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. A. Lorenz, J. Lynn, S. M. Dy, L. R. Shugarman, A. Wilkinson, R. A. Mularski, S. C. Morton, R. G. Hughes, L. K. Hilton, M. Maglione, et al.
Evidence for Improving Palliative Care at the End of Life: A Systematic Review
Ann Intern Med,
January 15, 2008;
148(2):
147 - 159.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. W F B.-A. de la Porte, D. J A Lok, D. J van Veldhuisen, J. van Wijngaarden, J. H Cornel, N. P A Zuithoff, E. Badings, and A. W Hoes
Added value of a physician-and-nurse-directed heart failure clinic: results from the Deventer-Alkmaar heart failure study
Heart,
July 1, 2007;
93(7):
819 - 825.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Metra, P. Ponikowski, K. Dickstein, J. J.V. McMurray, A. Gavazzi, C.-H. Bergh, A. G. Fraser, T. Jaarsma, A. Pitsis, P. Mohacsi, et al.
Advanced chronic heart failure: A position statement from the Study Group on Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology
Eur J Heart Fail,
June 1, 2007;
9(6-7):
684 - 694.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Holland, I. Brooksby, E. Lenaghan, K. Ashton, L. Hay, R. Smith, L. Shepstone, A. Lipp, C. Daly, A. Howe, et al.
Effectiveness of visits from community pharmacists for patients with heart failure: HeartMed randomised controlled trial
BMJ,
May 26, 2007;
334(7603):
1098 - 1098.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. O Grancelli and D. C Ferrante
Telephone interventions for disease management in heart failure
BMJ,
May 5, 2007;
334(7600):
910 - 911.
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. R. Hemmelgarn, B. J. Manns, J. Zhang, M. Tonelli, S. Klarenbach, M. Walsh, B. F. Culleton, and for the Alberta Kidney Disease Network
Association between Multidisciplinary Care and Survival for Elderly Patients with Chronic Kidney Disease
J. Am. Soc. Nephrol.,
March 1, 2007;
18(3):
993 - 999.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. Rozenman, R. S. Schwartz, H. Shah, and K. H. Parikh
Wireless Acoustic Communication With a Miniature Pressure Sensor in the Pulmonary Artery for Disease Surveillance and Therapy of Patients With Congestive Heart Failure
J. Am. Coll. Cardiol.,
February 20, 2007;
49(7):
784 - 789.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F A McAlister, S R Majumdar, D T Eurich, and J A Johnson
The effect of specialist care within the first year on subsequent outcomes in 24 232 adults with new-onset diabetes mellitus: population-based cohort study
Qual. Saf. Health Care,
February 1, 2007;
16(1):
6 - 11.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart
Stopping heart failure in its tracks
Eur J Heart Fail,
February 1, 2007;
9(2):
118 - 119.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. C. Inglis, S. Pearson, S. Treen, T. Gallasch, J. D. Horowitz, and S. Stewart
Extending the Horizon in Chronic Heart Failure: Effects of Multidisciplinary, Home-Based Intervention Relative to Usual Care
Circulation,
December 5, 2006;
114(23):
2466 - 2473.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. C. Huynh, A. Rovner, and M. W. Rich
Long-term Survival in Elderly Patients Hospitalized for Heart Failure: 14-Year Follow-up From a Prospective Randomized Trial.
Arch Intern Med,
September 25, 2006;
166(17):
1892 - 1898.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. E. Sisk, P. L. Hebert, C. R. Horowitz, M. A. McLaughlin, J. J. Wang, and M. R. Chassin
Effects of Nurse Management on the Quality of Heart Failure Care in Minority Communities: A Randomized Trial
Ann Intern Med,
August 15, 2006;
145(4):
273 - 283.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. N. McLennan, S. A. Pearson, J. Cameron, and S. Stewart
Prognostic importance of cognitive impairment in chronic heart failure patients: Does specialist management make a difference?
Eur J Heart Fail,
August 1, 2006;
8(5):
494 - 501.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Packer, W. T. Abraham, M. R. Mehra, C. W. Yancy, C. E. Lawless, J. E. Mitchell, F. W. Smart, R. Bijou, C. M. O'Connor, B. M. Massie, et al.
Utility of Impedance Cardiography for the Identification of Short-Term Risk of Clinical Decompensation in Stable Patients With Chronic Heart Failure
J. Am. Coll. Cardiol.,
June 6, 2006;
47(11):
2245 - 2252.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Pearson, S. C. Inglis, S. N. McLennan, L. Brennan, M. Russell, D. Wilkinson, D. R. Thompson, and S. Stewart
Prolonged effects of a home-based intervention in patients with chronic illness.
Arch Intern Med,
March 27, 2006;
166(6):
645 - 650.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Lainscak and I. Keber
Patients' knowledge and beta blocker treatment improve prognosis of patients from a heart failure clinic
Eur J Heart Fail,
March 1, 2006;
8(2):
187 - 190.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart
Review: multidisciplinary interventions reduce hospital admission and all cause mortality in heart failure
Evid. Based Nurs.,
January 1, 2006;
9(1):
23 - 23.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Stromberg
Heart failure management programmes: The time for action has arrived
Eur J Heart Fail,
December 1, 2005;
7(7):
1077 - 1078.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Roccaforte, C. Demers, F. Baldassarre, K. K.Teo, and S. Yusuf
Effectiveness of comprehensive disease management programmes in improving clinical outcomes in heart failure patients. A meta-analysis
Eur J Heart Fail,
December 1, 2005;
7(7):
1133 - 1144.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. D. Rasmusson, S. J. Brush, J. A. Hall, J. C. Vesty, A. G. Kfoury, and D. G. Renlund
Bridging the Resource Gap in Heart Failure Expertise and Management: The Underacknowledged Role of Nurse Specialists
J. Am. Coll. Cardiol.,
November 15, 2005;
46(10):
1961 - 1962.
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Swedberg and I. Ekman
Integrating heart failure guidelines into clinical practice
Eur. Heart J. Suppl.,
October 1, 2005;
7(suppl_J):
J21 - J25.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Davidson, G. Paull, D. Rees, J. Daly, and J. Cockburn
Activities of Home-Based Heart Failure Nurse Specialists: A Modified Narrative Analysis
Am. J. Crit. Care.,
September 1, 2005;
14(5):
426 - 433.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. McMurray, A. Cohen-Solal, R. Dietz, E. Eichhorn, L. Erhardt, F.D. R. Hobbs, H. Krum, A. Maggioni, R. S. McKelvie, I. L. Pina, et al.
Practical recommendations for the use of ACE inhibitors, beta-blockers, aldosterone antagonists and angiotensin receptor blockers in heart failure: Putting guidelines into practice
Eur J Heart Fail,
August 1, 2005;
7(5):
710 - 721.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Ducharme, O. Doyon, M. White, J. L. Rouleau, and J. M. Brophy
Impact of care at a multidisciplinary congestive heart failure clinic: a randomized trial
Can. Med. Assoc. J.,
July 5, 2005;
173(1):
40 - 45.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. W. Rich
Multidisciplinary heart failure clinics: Are they effective in Canada?
Can. Med. Assoc. J.,
July 5, 2005;
173(1):
53 - 54.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart, F. A. McAlister, and J. J. V. McMurray
Heart Failure Management Programs Reduce Readmissions and Prolong Survival
Arch Intern Med,
June 13, 2005;
165(11):
1311 - 1311.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma
Inter-professional team approach to patients with heart failure
Heart,
June 1, 2005;
91(6):
832 - 838.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Authors/Task Force Members, K. Swedberg, Writing Committee:, J. Cleland, H. Dargie, H. Drexler, F. Follath, M. Komajda, L. Tavazzi, O. A. Smiseth, et al.
Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology
Eur. Heart J.,
June 1, 2005;
26(11):
1115 - 1140.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart
Recognising the "other half" of the heart failure equation: are we doing enough for family caregivers?
Eur J Heart Fail,
June 1, 2005;
7(4):
590 - 591.
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Swedberg
Review: Effective Implementation of the New ESC Guidelines for the Management of Chronic Heart Failure in Routine Clinical Practice
Journal of Renin-Angiotensin-Aldosterone System,
June 1, 2005;
6(2_suppl):
S6 - S10.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. G.F. Cleland, A. A. Louis, A. S. Rigby, U. Janssens, A. H.M.M. Balk, and TEN-HMS Investigators
Noninvasive Home Telemonitoring for Patients With Heart Failure at High Risk of Recurrent Admission and Death: The Trans-European Network-Home-Care Management System (TEN-HMS) study
J. Am. Coll. Cardiol.,
May 17, 2005;
45(10):
1654 - 1664.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. P. Havranek
Improving the Outcomes of Heart Failure Care: Putting Technology Second
J. Am. Coll. Cardiol.,
May 17, 2005;
45(10):
1665 - 1666.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T A McDonagh
Lessons from the management of chronic heart failure
Heart,
May 1, 2005;
91(suppl_2):
ii24 - ii27.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. O. Phillips, R. M. Singa, H. R. Rubin, and T. Jaarsma
Complexity of program and clinical outcomes of heart failure disease management incorporating specialist nurse-led heart failure clinics. A meta-regression analysis
Eur J Heart Fail,
March 16, 2005;
7(3):
333 - 341.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Jaarsma
Health care professionals in a heart failure team
Eur J Heart Fail,
March 16, 2005;
7(3):
343 - 349.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Blue and J. McMurray
How much responsibility should heart failure nurses take?
Eur J Heart Fail,
March 16, 2005;
7(3):
351 - 361.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Stromberg
The crucial role of patient education in heart failure
Eur J Heart Fail,
March 16, 2005;
7(3):
363 - 369.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. R. Thompson, A. Roebuck, and S. Stewart
Effects of a nurse-led, clinic and home-based intervention on recurrent hospital use in chronic heart failure
Eur J Heart Fail,
March 16, 2005;
7(3):
377 - 384.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Stewart
Financial aspects of heart failure programs of care
Eur J Heart Fail,
March 16, 2005;
7(3):
423 - 428.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. G.F. Cleland
Patients with treatable malignant diseases -- including heart failure -- are entitled to specialist care
Can. Med. Assoc. J.,
January 18, 2005;
172(2):
207 - 209.
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. C. Fonarow
Heart Failure Disease Management Programs: Not a Class Effect
Circulation,
December 7, 2004;
110(23):
3506 - 3508.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Multidisciplinary Management of Heart Failure Saves Lives
Journal Watch Emergency Medicine,
October 27, 2004;
2004(1027):
2 - 2.
[Full Text]
|
|
|
|
