Swiss Interdisciplinary Management Programme for Heart Failure (SWIM-HF): a randomised controlled trial study of an outpatient inter-professional management programme for heart failure patients in Switzerland.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_4D5C73C32959
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Swiss Interdisciplinary Management Programme for Heart Failure (SWIM-HF): a randomised controlled trial study of an outpatient inter-professional management programme for heart failure patients in Switzerland.
Journal
Swiss Medical Weekly
Author(s)
Leventhal Marcia E., Denhaerynck Kris, Brunner-La Rocca Hans-Peter, Burnand Bernard, Conca Antoinette, Bernasconi Arlette T., Mahrer-Imhof Romy, Sivarajan Froelicher Erika, De Geest Sabina
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
141
Pages
w13171 [10 p.]
Language
english
Notes
Texte intégral: http://www.smw.ch/index.php?id=smw-2011-13171
Abstract
PRINCIPLES: International guidelines for heart failure (HF) care recommend the implementation of inter-professional disease management programmes. To date, no such programme has been tested in Switzerland. The aim of this randomised controlled trial (RCT) was to test the effect on hospitalisation, mortality and quality of life of an adult ambulatory disease management programme for patients with HF in Switzerland.METHODS: Consecutive patients admitted to internal medicine in a Swiss university hospital were screened for decompensated HF. A total of 42 eligible patients were randomised to an intervention (n = 22) or usual care group (n = 20). Medical treatment was optimised and lifestyle recommendations were given to all patients. Intervention patients additionally received a home visit by a HF-nurse, followed by 17 telephone calls of decreasing frequency over 12 months, focusing on self-care. Calls from the HF nurse to primary care physicians communicated health concerns and identified goals of care. Data were collected at baseline, 3, 6, 9 and 12 months. Mixed regression analysis (quality of life) was used. Outcome assessment was conducted by researchers blinded to group assignment.RESULTS: After 12 months, 22 (52%) patients had an all-cause re-admission or died. Only 3 patients were hospitalised with HF decompensation. No significant effect of the intervention was found on HF related to quality of life.CONCLUSIONS: An inter-professional disease management programme is possible in the Swiss healthcare setting but effects on outcomes need to be confirmed in larger studies.
Keywords
Aged, Aged, 80 and over, Ambulatory Care/methods, Disease Management, Female, Heart Failure/mortality, Heart Failure/therapy, Hospitalization/statistics & numerical data, Humans, Length of Stay/statistics & numerical data, Male, Patient Care Team, Patient Education as Topic, Patient Readmission/statistics & numerical data, Quality of Life, Regression Analysis, Switzerland, Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
28/06/2011 11:35
Last modification date
20/08/2019 15:02
Usage data