PMID- 19629314
OWN - NLM
STAT- MEDLINE
DCOM- 20100505
LR  - 20190606
IS  - 1678-4170 (Electronic)
IS  - 0066-782X (Linking)
VI  - 92
IP  - 6
DP  - 2009 Jun
TI  - Impact of the nursing consultation on the frequency of hospitalizations in 
      patients with heart failure in Curitiba, Parana State.
PG  - 454-60, 473-9, 490-6
LID - S0066-782X2009000600013 [pii]
AB  - BACKGROUND: Heart failure (HF) has become a public health problem with increased 
      incidence and prevalence in the last decade, a consequence of the aging of the 
      population and improved pharmacological and interventionist therapies. It has 
      high rates of mortality and morbidity, expressed as high rates of 
      hospitalizations and re-hospitalizations, even in patients submitted to new 
      therapies, especially ACEI and beta-blockers. OBJECTIVE: This study is the 
      analysis of the impact that the nursing consultation has on the frequency of 
      hospitalizations in patients with HF living in the city of Curitiba, state of 
      Parana and its metropolitan region. METHOD: Patients with a diagnosis of HF and 
      New York Heart Association (NYHA) functional classification, with telephone 
      access, living in the city of Curitiba or its metropolitan region, life 
      expectancy > 3 months due to non-cardiac diseases, aged 18 or older, non-users of 
      illicit drugs. The groups were created by simple random allocation (drawing lots) 
      and one group received the usual medical care, nursing consultation and telephone 
      monitoring every 15 days of educational nature, intervention group (IG), whereas 
      the other group received the usual medical care, monthly telephone monitoring of 
      administrative and epidemiological nature, control group (CG). The follow-up was 
      carried out for 6 months. RESULTS: The IG needed 0.25+/-0.79 and the CG needed 
      1.10 +/-1.41; p = 0.037 hospitalizations. CONCLUSION: The nursing consultation 
      promotes the decrease in the frequency of hospitalizations in patients with HF 
      undergoing treatment and living in the city of Curitiba and its metropolitan 
      region.
FAU - Bento, Vivian Freitas Rezende
AU  - Bento VF
AD  - Pontificia Universidade Catolica do Parana, Curitiba, PR, Brasil. 
      vivian.rezende@terra.com.br
FAU - Brofman, Paulo Roberto Slud
AU  - Brofman PR
LA  - eng
LA  - mul
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Brazil
TA  - Arq Bras Cardiol
JT  - Arquivos brasileiros de cardiologia
JID - 0421031
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Brazil
MH  - Epidemiologic Methods
MH  - Female
MH  - Heart Failure/*nursing
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Practice Patterns, Nurses'
EDAT- 2009/07/25 09:00
MHDA- 2010/05/06 06:00
CRDT- 2009/07/25 09:00
PHST- 2007/12/11 00:00 [received]
PHST- 2008/07/23 00:00 [accepted]
PHST- 2009/07/25 09:00 [entrez]
PHST- 2009/07/25 09:00 [pubmed]
PHST- 2010/05/06 06:00 [medline]
AID - S0066-782X2009000600013 [pii]
AID - 10.1590/s0066-782x2009000600013 [doi]
PST - ppublish
SO  - Arq Bras Cardiol. 2009 Jun;92(6):454-60, 473-9, 490-6. doi: 
      10.1590/s0066-782x2009000600013.