dc.contributor.author | Pascual Rodríguez, Carlos | |
dc.contributor.author | Galán Paredes, Emilio | |
dc.contributor.author | Guerrero Gonzélez, José Luis | |
dc.contributor.author | Colino Menéndez, Rocio | |
dc.contributor.author | Soler Abizanda, Pedro | |
dc.contributor.author | Calvo Hornillos, Mercedes | |
dc.contributor.author | Jaurieta Solano, Juan José | |
dc.contributor.author | Arambarri Manzarbeitia, Jorge | |
dc.contributor.author | Casado Ribera, José Manuel | |
dc.contributor.author | Rodríguez Artalejo, Fernando | |
dc.contributor.other | UAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología | es_ES |
dc.date.accessioned | 2014-10-17T08:19:42Z | |
dc.date.available | 2014-10-17T08:19:42Z | |
dc.date.issued | 2011-08-09 | |
dc.identifier.citation | BMC Public Health 11 (2011): 627 | es_ES |
dc.identifier.issn | 1471-2458 | es_ES |
dc.identifier.uri | http://hdl.handle.net/10486/662155 | |
dc.description.abstract | Background: Disease management programmes (DMPs) have been shown to reduce hospital readmissions and
mortality in adults with heart failure (HF), but their effectiveness in elderly patients or in those with major
comorbidity is unknown. The Multicenter Randomised Trial of a Heart Failure Management Programme among
Geriatric Patients (HF-Geriatrics) assesses the effectiveness of a DMP in elderly patients with HF and major
comorbidity.
Methods/Design: Clinical trial in 700 patients aged ≥ 75 years admitted with a primary diagnosis of HF in the
acute care unit of eight geriatric services in Spain. Each patient should meet at least one of the following
comorbidty criteria: Charlson index ≥ 3, dependence in ≥ 2 activities of daily living, treatment with ≥ 5 drugs,
active treatment for ≥ 3 diseases, recent emergency hospitalization, severe visual or hearing loss, cognitive
impairment, Parkinson’s disease, diabetes mellitus, chronic obstructive pulmonary disease (COPD), anaemia, or
constitutional syndrome. Half of the patients will be randomly assigned to a 1-year DMP led by a case manager
and the other half to usual care. The DMP consists of an educational programme for patients and caregivers on
the management of HF, COPD (knowledge of the disease, smoking cessation, immunizations, use of inhaled
medication, recognition of exacerbations), diabetes (knowledge of the disease, symptoms of hyperglycaemia and
hypoglycaemia, self-adjustment of insulin, foot care) and depression (knowledge of the disease, diagnosis and
treatment). It also includes close monitoring of the symptoms of decompensation and optimisation of treatment
compliance. The main outcome variables are quality of life, hospital readmissions, and overall mortality during a 12-
month follow-up.
Discussion: The physiological changes, lower life expectancy, comorbidity and low health literacy associated with
aging may influence the effectiveness of DMPs in HF. The HF-Geriatrics study will provide direct evidence on the
effect of a DMP in elderly patients with HF and high comorbidty, and will reduce the need to extrapolate the
results of clinical trials in adults to elderly patients | en_US |
dc.description.sponsorship | Study partially funded by the Fondo de Investigación Sanitaria, Instituto de
Salud Carlos III (PI-081820), the Fondo Europeo de Desarrollo Regional (FEDER)
“una manera de hacer Europa“ and by the INCITE programme of the Xunta
de Galicia (08CSA063905PR). | en_US |
dc.format.extent | 8 pag. | es_ES |
dc.format.mimetype | application/pdf | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | BioMed Central | en_US |
dc.relation.ispartof | BMC Public Health | es_ES |
dc.rights | © 2011 Pascual et al; licensee BioMed Central Ltd. | en_US |
dc.subject.other | heart failure | en_US |
dc.subject.other | chronic obstructive pulmonary disease | en_US |
dc.subject.other | case manager | en_US |
dc.subject.other | disease management programme | en_US |
dc.subject.other | hospital readmission | en_US |
dc.title | Rationale and methods of the multicenter randomised trial of a heart failure management programme among geriatric patients (HF-Geriatrics) | en_US |
dc.type | article | en |
dc.subject.eciencia | Medicina | es_ES |
dc.relation.publisherversion | http://dx.doi.org/10.1186/1471-2458-11-627 | es_ES |
dc.relation.publisherversion | http://www.biomedcentral.com/1471-2458/11/627 | |
dc.identifier.doi | 10.1186/1471-2458-11-627 | es_ES |
dc.identifier.publicationfirstpage | 627 | es_ES |
dc.identifier.publicationvolume | 11 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | en |
dc.rights.cc | Reconocimiento | es_ES |
dc.rights.accessRights | openAccess | en |
dc.authorUAM | Rodríguez Artalejo, Fernando (259343) | |
dc.facultadUAM | Facultad de Medicina | |