Inpatient palliative care for patients with acute heart failure: Outcomes from a randomized trial

  • A.C. S
  • A. J
  • H. R
 et al. 
  • 4

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Abstract

Background: Heart failure (HF) is associated with a high symptom burden and reduced quality of life (QOL). Models integrating palliative care (PC) into HF care have been proposed, but limited research is available on the outcomes of such models. Objective: Our aim was to assess if inpatient PC for HF patients is associated with improvements in symptom burden, depressive symptoms, QOL, or differential use of services. Methods: Patients hospitalized with acute HF were randomized to receive a PC consult with follow-up as determined by provider or standard care. Two hundred thirty-two patients (116 intervention/116 control) from a large tertiary-care urban hospital were recruited over a 10-month period. Primary outcomes were symptom burden, depressive symptoms, and QOL measured at baseline, 1, and 3 months. Secondary outcomes included advance care planning (ACP), inpatient 30-day readmission, hospice use, and death. Results: Improvements were greater at both 1 and 3 months in the intervention group for primary outcome summary measures after adjusting for age, gender, and marital status differences between study groups. QOL scores increased by 12.92 points in the intervention and 8 points in the control group at 1 month (difference+4.92, p

Author-supplied keywords

  • *Depression/nu [Nursing]
  • *Heart Failure/nu [Nursing]
  • *Palliative Care/mt [Methods]
  • *acute heart failure/th [Therapy]
  • *palliative therapy
  • 80 and over
  • Age Factors
  • Aged
  • Female
  • Hospitals
  • Humans
  • Inpatients
  • Male
  • Middle Aged
  • Minnesota
  • Models
  • Nursing
  • Quality of Life
  • Referral and Consultation
  • Sex Factors
  • Socioeconomic Factors
  • Tertiary Care Centers
  • Treatment Outcome
  • Urban
  • adult
  • aged
  • article
  • controlled study
  • depression
  • female
  • follow up
  • health service
  • health status
  • hospice care
  • hospital patient
  • hospital readmission
  • human
  • major clinical study
  • male
  • marriage
  • middle aged
  • mortality
  • outcome assessment
  • patient care
  • quality of life
  • randomized controlled trial
  • scoring system
  • tertiary health care
  • very elderly

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Authors

  • Sidebottom A.C.

  • Jorgenson A.

  • Richards H.

  • Kirven J.

  • Abbey C Sidebottom

  • Ann Jorgenson

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