Maria Liljeroos1,2, Anna Strömberg1,3,4. 1. Department of Medical and Health Sciences, Linköping University, Linköping, Sweden. 2. Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden. 3. Department of Cardiology, Linköping University, Linköping, Sweden. 4. Sue & Bill Gross School of Nursing, University of California Irvine, CA, USA.
Abstract
AIM: According to clinical guidelines, it is recommended that patients with heart failure (HF) receive structured multidisciplinary care at nurse-led HF clinics in order to optimise treatment and avoid preventable readmissions. Today, there are HF clinics with specialist-trained nurses at almost all Swedish hospitals, but HF clinics remain scarce in primary care (PC). The aim of this study was two-fold: firstly, to evaluate the effects of systematically implementing nurse-led HF clinics in PC settings with regard to hospital healthcare utilisation and evidence-based HF treatment, and secondly to explore patients' experiences of HF clinics in PC. METHODS AND RESULTS: The study had a pre-post design. Annual measurement were done between 2010-2017 regarding in-hospital healthcare consumption and medical treatment. Data from 2011-2017 after the implementation of HF clinics in PC in one county council Sweden were compared with baseline data collected before the implementation in 2010. The implementation of HF clinics in PC significantly reduced the number of HF-related hospital admissions by 27% (P < 0.001), HF hospital days by 27.3% (P < 0.001) and HF emergency room visits by 24% (P < 0.001). Further, patients were to a higher extent medically treated according to guidelines and satisfied with the care they received at the PC HF clinic. CONCLUSION: Nurse-led HF clinics in PC seem to be effective in reducing the need for in-hospital care and provide high quality person-centred care.
AIM: According to clinical guidelines, it is recommended that patients with heart failure (HF) receive structured multidisciplinary care at nurse-led HF clinics in order to optimise treatment and avoid preventable readmissions. Today, there are HF clinics with specialist-trained nurses at almost all Swedish hospitals, but HF clinics remain scarce in primary care (PC). The aim of this study was two-fold: firstly, to evaluate the effects of systematically implementing nurse-led HF clinics in PC settings with regard to hospital healthcare utilisation and evidence-based HF treatment, and secondly to explore patients' experiences of HF clinics in PC. METHODS AND RESULTS: The study had a pre-post design. Annual measurement were done between 2010-2017 regarding in-hospital healthcare consumption and medical treatment. Data from 2011-2017 after the implementation of HF clinics in PC in one county council Sweden were compared with baseline data collected before the implementation in 2010. The implementation of HF clinics in PC significantly reduced the number of HF-related hospital admissions by 27% (P < 0.001), HF hospital days by 27.3% (P < 0.001) and HF emergency room visits by 24% (P < 0.001). Further, patients were to a higher extent medically treated according to guidelines and satisfied with the care they received at the PC HF clinic. CONCLUSION: Nurse-led HF clinics in PC seem to be effective in reducing the need for in-hospital care and provide high quality person-centred care.
Authors: Maria Liljeroos; Naoko P Kato; Martje Hl van der Wal; Maaike Brons; Marie Louise Luttik; Dirk J van Veldhuisen; Anna Strömberg; Tiny Jaarsma Journal: Eur J Cardiovasc Nurs Date: 2020-01-29 Impact factor: 3.908
Authors: Annemarijn R de Boer; Ilonca Vaartjes; Aisha Gohar; Mark J M Valk; Jasper J Brugts; Leandra J M Boonman-de Winter; Evelien E van Riet; Yvonne van Mourik; Hans-Peter Brunner-La Rocca; Gerard C M Linssen; Arno W Hoes; Michiel L Bots; Hester M den Ruijter; Frans H Rutten Journal: ESC Heart Fail Date: 2021-12-09
Authors: Paweł Krzesiński; Ewa A Jankowska; Janusz Siebert; Agata Galas; Katarzyna Piotrowicz; Adam Stańczyk; Paweł Siwołowski; Piotr Gutknecht; Paweł Chrom; Piotr Murawski; Andrzej Walczak; Dominika Szalewska; Waldemar Banasiak; Piotr Ponikowski; Grzegorz Gielerak Journal: Eur J Heart Fail Date: 2021-10-14 Impact factor: 17.349