Event-free survival in adults with heart failure who engage in self-care management
Journal article
Lee, C., Moser, Debra K., Lennie, Terry A. and Riegel, Barbara. (2011). Event-free survival in adults with heart failure who engage in self-care management. Heart and Lung. 40(1), pp. 12 - 20. https://doi.org/10.1016/j.hrtlng.2009.12.003
Authors | Lee, C., Moser, Debra K., Lennie, Terry A. and Riegel, Barbara |
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Abstract | Background Self-care management in heart failure (HF) involves decision-making to evaluate, and actions to ameliorate symptoms when they occur. This study sought to compare the risks of all-cause mortality, hospitalization, or emergency-room admission among HF patients who practice above-average self-care management, those who practice below-average self-care management, and those who are symptom-free. Methods A secondary analysis was conducted of data collected on 195 HF patients. A Cox proportional hazards model was used to examine the association between self-care management and event risk. Results The sample consisted of older (mean ± standard deviation = 61.3 ± 11 years), predominantly male (64.6%) adults, with an ejection fraction of 34.7% ± 15.3%; 60.1% fell within New York Heart Association class III or IV HF. During an average follow-up of 364 ± 288 days, 4 deaths, 82 hospitalizations, and 5 emergency-room visits occurred as first events. Controlling for 15 common confounders, those who engaged in above-average self-care management (hazard ratio, .44; 95% confidence interval, .22 to .88; P < .05) and those who were symptom-free (hazard ratio, 0.48; 95% confidence interval, .24 to .97; P < .05) ran a lower risk of an event during follow-up than those engaged in below-average self-care management. Conclusion Symptomatic HF patients who practice above-average self-care management have an event-free survival benefit similar to that of symptom-free HF patients. |
Keywords | Heart failure; Self-care; Adherence; Self-management; Survival |
Year | 2011 |
Journal | Heart and Lung |
Journal citation | 40 (1), pp. 12 - 20 |
Publisher | Mosby Inc. |
ISSN | 0147-9563 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.hrtlng.2009.12.003 |
Scopus EID | 2-s2.0-79951516663 |
Page range | 12 - 20 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/8v7q8/event-free-survival-in-adults-with-heart-failure-who-engage-in-self-care-management
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