PMID- 32004244
OWN - NLM
STAT- MEDLINE
DCOM- 20201007
LR  - 20210207
IS  - 1558-2035 (Electronic)
IS  - 1558-2027 (Linking)
VI  - 21
IP  - 3
DP  - 2020 Mar
TI  - Structured telephone support programs in chronic heart failure may be affected by 
      a learning curve.
PG  - 231-237
LID - 10.2459/JCM.0000000000000934 [doi]
AB  - AIMS: The efficacy of a telephone support program in chronic heart failure has 
      been questioned particularly when considering short-term follow-up. This study is 
      aimed to assess the impact of the HeartNetCare telephone support program in 
      chronic heart failure within 18 months of observation and to verify a possible 
      effect of a learning-to-care curve on outcome. METHODS: We retrospectively 
      compared a cohort of 269 chronic heart failure patients included in HeartNetCare 
      program with 200 patients receiving usual care as a control group. All-cause 
      death and hospitalization for heart failure or implantation of left ventricular 
      assist device were the primary composite outcome. Secondary endpoints were the 
      changes in left ventricular ejection fraction and in New York Heart Association 
      (NYHA) functional class. Outcome data were also analyzed in relation to the time 
      of enrollment from program initiation. RESULTS: At baseline, HeartNetCare group 
      showed lower ejection fraction and higher NYHA class. At the follow-up, 59 
      HeartNetCare patients (21.9%) and 49 usual care patients (24.5%) reached the 
      primary endpoint (P = 0.51). After 18 months of follow-up, HeartNetCare patients 
      improved ejection fraction and NYHA class compared with the usual care patients 
      (P < 0.001). We also observed that the HeartNetCare patients enrolled after 12 
      months from the initiation of the program had a more favorable outcome in primary 
      endpoint compared with controls. CONCLUSION: These results indicate that the 
      long-term impact of a structured telephone support program might be able to 
      positively influence symptoms and reduce events in chronic heart failure. These 
      appreciable effects where more evident after an initial period essential for 
      completing the learning-to-care curve.
FAU - Tersalvi, Gregorio
AU  - Tersalvi G
AD  - Cardiovascular Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore 
      Policlinico.
FAU - Vicenzi, Marco
AU  - Vicenzi M
AD  - Cardiovascular Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore 
      Policlinico.
AD  - Department of Clinical Sciences and Community Health, University of Milan, Milan, 
      Italy.
FAU - Kirsch, Katharina
AU  - Kirsch K
AD  - Heart Center Leipzig, University Hospital of Cardiology, Leipzig.
FAU - Gunold, Hilka
AU  - Gunold H
AD  - Heart Center Leipzig, University Hospital of Cardiology, Leipzig.
FAU - Thiele, Holger
AU  - Thiele H
AD  - Heart Center Leipzig, University Hospital of Cardiology, Leipzig.
FAU - Lombardi, Federico
AU  - Lombardi F
AD  - Cardiovascular Disease Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore 
      Policlinico.
AD  - Department of Clinical Sciences and Community Health, University of Milan, Milan, 
      Italy.
FAU - Mangner, Norman
AU  - Mangner N
AD  - Department of Internal Medicine/Cardiology, Heart Center Dresden, Technical 
      University of Dresden, Dresden, Germany.
FAU - Sandri, Marcus
AU  - Sandri M
AD  - Heart Center Leipzig, University Hospital of Cardiology, Leipzig.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - J Cardiovasc Med (Hagerstown)
JT  - Journal of cardiovascular medicine (Hagerstown, Md.)
JID - 101259752
SB  - IM
CIN - J Cardiovasc Med (Hagerstown). 2020 Apr;21(4):315-317. PMID: 32040032
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cause of Death
MH  - Chronic Disease
MH  - *Health Knowledge, Attitudes, Practice
MH  - Heart Failure/diagnosis/mortality/physiopathology/*therapy
MH  - Heart-Assist Devices
MH  - Humans
MH  - *Learning Curve
MH  - Middle Aged
MH  - Patient Admission
MH  - *Patient Education as Topic
MH  - Program Evaluation
MH  - Prosthesis Implantation/instrumentation
MH  - Retrospective Studies
MH  - Stroke Volume
MH  - *Telephone
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ventricular Function, Left
MH  - Young Adult
EDAT- 2020/02/01 06:00
MHDA- 2020/10/08 06:00
CRDT- 2020/02/01 06:00
PHST- 2020/02/01 06:00 [entrez]
PHST- 2020/02/01 06:00 [pubmed]
PHST- 2020/10/08 06:00 [medline]
AID - 01244665-202003000-00008 [pii]
AID - 10.2459/JCM.0000000000000934 [doi]
PST - ppublish
SO  - J Cardiovasc Med (Hagerstown). 2020 Mar;21(3):231-237. doi: 
      10.2459/JCM.0000000000000934.