Review
Cardiac & Cardiovascular Systems
Anna Kowalczys, Michal Bohdan, Alina Wilkowska, Iga Pawlowska, Leszek Pawlowski, Piotr Janowiak, Ewa Jassem, Malgorzata Lelonek, Marcin Gruchala, Piotr Sobanski
Summary: Heart failure and chronic obstructive pulmonary disease are major burdens worldwide, often coexisting and leading to worsened quality of life and mortality. Palliative care plays a significant role in improving the quality of life for people with these conditions, and early integration is emphasized in current guidelines.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Gabriella Marx, Tina Mallon, Nadine Janis Pohontsch, Franziska Schade, Judith Dams, Manuel Zimansky, Thomas Asendorf, Silke Boettcher, Christiane A. Mueller, Michael Freitag, Eva Hummers, Hendrik van den Bussche, Ingmar Schaefer, Hans-Helmut Koenig, Stephanie Stiel, Nils Schneider, Friedemann Nauck, Tim Friede, Martin Scherer
Summary: Progressive chronic, non-malignant diseases are becoming increasingly relevant in primary care, with patients experiencing severe symptoms, reduced quality of life, and more hospitalizations. Outpatient palliative care has been shown to reduce hospitalization rates by up to 50%. Early interprofessional care planning is necessary due to the complex medical conditions and uncertain prognosis of these diseases. The KOPAL study aims to test the effectiveness of a SPHC nurse-patient consultation followed by an interprofessional telephone case conference.
Article
Medicine, General & Internal
Manuel Mendez-Bailon, Noel Lorenzo-Villalba, Miriam Romero-Correa, Claudia Josa-Laorden, Luis Inglada-Galiana, Eva Menor-Campos, Noelia Gomez-Aguirre, Carolina Clemente-Sarasa, Rosario Salas-Campos, Carmen Garcia-Redecillas, Maria Asenjo-Martinez, Joan Carles Trullas, Begona Cortes-Rodriguez, Carla de la Guerra-Acebal, Ana Serrado Iglesias, Reyes Aparicio-Santos, Francesc Formiga, Emmanuel Andres, Oscar Aramburu-Bodas, Prado Salamanca-Bautista
Summary: This study aimed to evaluate the prognostic impact of chronic obstructive pulmonary disease (COPD) on mortality in elderly patients with acute and advanced heart failure (HF). The findings show that patients with HF and COPD have more severe symptoms and a worse prognosis compared to patients without COPD. However, many patients with HF and COPD may not receive the assessment and palliative care support they need in the current healthcare setting.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Amy Waller, Breanne Hobden, Kristy Fakes, Katherine Clark
Summary: This systematic review examined palliative care needs tools for people diagnosed with advanced heart failure or chronic respiratory diseases. Eighteen tools were identified, but they exhibited variability in psychometric quality and clinical utility when implemented in clinical practice.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Marques Shek Nam Ng, Winnie Kwok Wei So, Kai Chow Choi, Wallace Chi Ho Chan, Helen Yue Lai Chan, Carmen Wing Han Chan
Summary: This study aims to explore the social capital available for family caregivers of patients with chronic organ failure. A participatory design will be utilized, and the study will be divided into three phases to prepare, generate statements, create a concept map, prioritize statements, and formulate action plans based on the concept map. Recommendations on policies to improve the caregiving experience and enhance social care will be produced based on the findings.
Review
Medicine, General & Internal
Megan C. Thomas Hebdon, Cuong Thi Thanh Phan, Carolyn Phillips, Shaowei Wan, Katherine Doyon, Tamryn Gray, Lee Ann Johnson, Vyshnavi Pottepalli, Stacy Fischer
Summary: This article introduces a study on informal care provided by caregivers in the USA for individuals with chronic illnesses and the financial burden they may face. The research will systematically search for the nature, scope, measurement, effect, and health system context of financial interventions.
Article
Health Care Sciences & Services
Marta Aguilar-Fuerte, Fernando Alonso-Ecenarro, Alejandro Broch-Petit, Elena Chover-Sierra
Summary: This study identified the palliative care needs of HF patients and factors influencing short-term mortality, using instruments like NECPAL CCOMS-ICO(C) and PROFUND. The analysis of clinical characteristics helped in recognizing patients who would benefit from palliative management.
Article
Health Care Sciences & Services
Muhammad Haisum Maqsood, Muhammad Shahzeb Khan, Haider J. Warraich
Summary: The study found that palliative care is more effective for patients with heart failure compared to other noncancer illnesses, reducing potentially unwanted hospital admissions and promoting advance care planning. Additionally, there was an improvement in symptom burden after palliative care intervention.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Medicine, General & Internal
Jianglin Xu, Zhuo Zhang, Jing Liu, Yan Li, Jie Wan, Ruli Feng, Jialin Jin, Cong Huang, Tianshi Mao, Xiang Ji, Kun Zhou, Qian Lin
Summary: This study will conduct a network meta-analysis (NMA) to determine the impact of TAE on patients with CHF of different types, different causes, and different New York Heart Association (NYHA) heart function classifications, providing references for different types of patients with CHF to choose appropriate exercise rehabilitation therapy.
Article
Medicine, General & Internal
Minakshi Dhar, Kartik Mittal, Ashwin Parchani, Manu Sharma, Yogesh Bahurupi, Sanjay Kalra, Nowneet Kumar Bhat
Summary: Heart failure is a common disease in the geriatric population, and current treatment options are limited. Testosterone therapy is considered as a potential treatment with beneficial effects. This study aims to investigate the effects of testosterone gel on functional capacity, frailty, and quality of life in males with chronic stable heart failure. The study will recruit 986 participants and utilize an open-label, parallel design randomized controlled trial.
Article
Medicine, General & Internal
Therese Kearns, Abbey Diaz, Lisa J. Whop, Suzanne P. Moore, John R. Condon, Ross M. Andrews, Judith M. Katzenellenbogen, Veronica Matthews, William Wang, Trisha Johnston, Catherine Taylor, Boyd Potts, Alex Kathage, Abdulla Suleman, Lucy Stanley, Louise Mitchell, Gail Garvey, Daniel Williamson
Summary: The Better Cardiac Care Data Linkage project aims to identify disparities in cardiovascular healthcare between Aboriginal and Torres Strait Islander people and other Queensland residents. This population-based retrospective cohort study will analyze patient care pathways and health outcomes using linked health and administrative data collections. The project will focus on descriptive epidemiological measures and multivariate analysis to understand differences in care and outcomes.
Article
Cardiac & Cardiovascular Systems
Ovidiu Chioncel, Marianna Adamo, Maria Nikolaou, John Parissis, Alexandre Mebazaa, Mehmet Birhan Yilmaz, Christian Hassager, Brenda Moura, Johann Bauersachs, Veli-Pekka Harjola, Elena-Laura Antohi, Tuvia Ben-Gal, Sean P. Collins, Vlad Anton Iliescu, Magdy Abdelhamid, Jelena Celutkiene, Stamatis Adamopoulos, Lars H. Lund, Mariantonietta Cicoira, Josep Masip, Hadi Skouri, Finn Gustafsson, Amina Rakisheva, Ingo Ahrens, Andrea Mortara, Ewa A. Janowska, Abdallah Almaghraby, Kevin Damman, Oscar Miro, Kurt Huber, Arsen Ristic, Loreena Hill, Wilfried Mullens, Alaide Chieffo, Jozef Bartunek, Pasquale Paolisso, Antoni Bayes-Genis, Stefan D. Anker, Susanna Price, Gerasimos Filippatos, Frank Ruschitzka, Petar Seferovic, Rafael Vidal-Perez, Alec Vahanian, Marco Metra, Theresa A. McDonagh, Emanuele Barbato, Andrew J. S. Coats, Giuseppe M. C. Rosano
Summary: Acute heart failure (AHF) represents a wide range of disease states caused by the interaction between acute precipitants and a patient's underlying cardiac substrate and comorbidities. Valvular heart disease (VHD) is often associated with AHF. The severity of VHD and its correlation with symptoms can be difficult to assess in AHF patients due to various factors. Evidence-based interventions targeting VHD in AHF settings are yet to be identified, making current guidelines elusive. This scientific statement aims to provide an overview of the epidemiology, pathophysiology, and treatment approach for AHF patients with VHD.
EUROPEAN JOURNAL OF HEART FAILURE
(2023)
Article
Health Care Sciences & Services
Brett R. Curtis, Bruce L. Rollman, Bea Herbeck Belnap, Kwonho Jeong, Lan Yu, Matthew E. Harinstein, Dio Kavalieratos
Summary: The study suggests that factors such as depression, non-white race, more severe HF symptoms, and lower quality of life are associated with the perceived need for palliative care in HF patients.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Cardiac & Cardiovascular Systems
Dio Kavalieratos, Matthew E. Harinstein, Beth Rose, Jane Lowers, Zachariah P. Hoydich, David B. Bekelman, Larry A. Allen, Bruce L. Rollman, Natalie C. Ernecoff, Laura T. Moreines, Marie A. Bakitas, Robert M. Arnold
Summary: This pilot study suggests that nurse-led primary palliative care in outpatient cardiology settings is promising for improving satisfaction and quality of life in patients with heart failure.
Article
Cardiac & Cardiovascular Systems
Carl J. Hoijer, Miriam J. Johnson
Summary: In 2018, 11% of heart failure patients who died in Sweden and had an implanted cardioverter-defibrillator (ICD) received Specialized Palliative Care (SPC). Among those who died outside of hospital, 52% had their ICD deactivated prior to death, with 78% of those accessing SPC having their ICD deactivated.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)