OBJECTIVES: To explore dying trajectories in heart failure. DESIGN: Prospective, longitudinal study. SETTING: Sixteen GP surgeries in four demographically contrasting areas of the UK. PARTICIPANTS: A total of 27 heart failure patients, >60 years of age, who completed questionnaires for at least five time-points before death. MAIN OUTCOME MEASURES: Kansas City Cardiomyopathy Questionnaire Physical Limitation Scale. RESULTS: No 'typical' dying trajectory could be identified, and only a minority of patients conformed to the theoretical trajectory of dying in heart failure. CONCLUSIONS: This study provides the first prospective data regarding physical decline prior to death in heart failure. Findings challenge current efforts to plan and deliver palliative care services on the basis of the theoretical heart failure dying trajectory.
OBJECTIVES: To explore dying trajectories in heart failure. DESIGN: Prospective, longitudinal study. SETTING: Sixteen GP surgeries in four demographically contrasting areas of the UK. PARTICIPANTS: A total of 27 heart failurepatients, >60 years of age, who completed questionnaires for at least five time-points before death. MAIN OUTCOME MEASURES: Kansas City Cardiomyopathy Questionnaire Physical Limitation Scale. RESULTS: No 'typical' dying trajectory could be identified, and only a minority of patients conformed to the theoretical trajectory of dying in heart failure. CONCLUSIONS: This study provides the first prospective data regarding physical decline prior to death in heart failure. Findings challenge current efforts to plan and deliver palliative care services on the basis of the theoretical heart failure dying trajectory.
Authors: June R Lunney; Steven M Albert; Robert Boudreau; Diane Ives; Anne B Newman; Tamara Harris Journal: J Palliat Med Date: 2018-12-20 Impact factor: 2.947
Authors: John G Cagle; Morgan Bunting; Anne Kelemen; Joonyup Lee; Dorothy Terry; Ryan Harris Journal: Heart Fail Rev Date: 2017-09 Impact factor: 4.214
Authors: Jonathan Howlett; Louise Morin; Martin Fortin; George Heckman; Patricia H Strachan; Neville Suskin; Judit Shamian; Richard Lewanczuk; Heather M Aurthur Journal: Can J Cardiol Date: 2010-03 Impact factor: 5.223
Authors: J Malcom; O Arnold; Jonathan G Howlett; Anique Ducharme; Justin A Ezekowitz; Martin J Gardner; Nadia Giannetti; Haissam Haddad; George A Heckman; Debra Isaac; Philip Jong; Peter Liu; Elizabeth Mann; Robert S McKelvie; Gordon W Moe; Anna M Svendsen; Ross T Tsuyuki; Kelly O'Halloran; Heather J Ross; Errol J Sequeira; Michel White Journal: Can J Cardiol Date: 2008-01 Impact factor: 5.223
Authors: Neil Small; Sarah Barnes; Merryn Gott; Sheila Payne; Chris Parker; David Seamark; Salah Gariballa Journal: BMC Palliat Care Date: 2009-06-16 Impact factor: 3.234