PMID- 37215545 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230523 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 10 DP - 2023 TI - Implementation of a heart failure educational intervention for patients with recent admissions for acute decompensated heart failure. PG - 1133988 LID - 10.3389/fcvm.2023.1133988 [doi] LID - 1133988 AB - PURPOSE: This study examined whether implementation of a heart failure (HF) education class targeted at patients and their caregivers decreased worsening HF, emergency department (ED) visits and hospital admissions, and improved patient quality of life and confidence in disease state management. METHODS: Patients with HF and a recent hospital admission for acute decompensated heart failure (ADHF) were offered an educational course covering HF pathophysiology, medications, diet, and lifestyle modifications. Patients completed surveys before and 30 days after completion of the educational course. Outcomes of participants at 30 and 90 days after class completion were compared against outcomes for the same patients at 30 and 90 days prior to course attendance. Data was collected using electronic medical records, in-person during the class, and during a phone follow-up. RESULTS: The primary outcome was a composite of hospital admission, ED visit, and/or outpatient visit for HF at 90 days. A total of twenty-six patients attended classes between September 2018 and February 2019 and were included in the analysis. Median age was 70 years, and most patients were white. All patients were American College of Cardiology/American Heart Association (ACC/AHA) Stage C and a majority had New York Heart Association (NYHA) Class II or III symptoms. Median left ventricular ejection fraction (LVEF) was 40%. The primary composite outcome occurred significantly more frequently in the 90 days prior to class attendance than in the 90 days following attendance (96% vs. 35%, p < 0.01). Likewise, the secondary composite outcome occurred significantly more frequently in the 30 days before class attendance than in the 30 days following (54% vs. 19%, p = 0.02). These results were driven by a decrease in admissions and ED visits for HF symptoms. Survey scores related to patient HF self-management practices and patient confidence in ability to self-manage HF increased numerically from baseline to 30 days after class attendance. CONCLUSION: Implementation of an educational class for HF patients improved patient outcomes, confidence, and ability to self-manage HF. Hospital admissions and ED visits also decreased. Adoption of such a course might help to decrease overall health care costs and improve patient quality of life. CI - (c) 2023 Stahlman, Huizar-Garcia, Lipscomb, Frei and Oliver. FAU - Stahlman, Sarah AU - Stahlman S AD - South Texas Veterans Health Care System, Veterans Health Administration, United States Department of Veterans Affairs, San Antonio, TX, United States. AD - College of Pharmacy, The University of Texas at Austin, Austin, TX, United States. AD - School of Medicine, The University of Texas Health Science Center San Antonio, San Antonio, TX, United States. FAU - Huizar-Garcia, Stephanie AU - Huizar-Garcia S AD - South Texas Veterans Health Care System, Veterans Health Administration, United States Department of Veterans Affairs, San Antonio, TX, United States. AD - College of Pharmacy, The University of Texas at Austin, Austin, TX, United States. AD - School of Medicine, The University of Texas Health Science Center San Antonio, San Antonio, TX, United States. FAU - Lipscomb, Justina AU - Lipscomb J AD - South Texas Veterans Health Care System, Veterans Health Administration, United States Department of Veterans Affairs, San Antonio, TX, United States. AD - College of Pharmacy, The University of Texas at Austin, Austin, TX, United States. AD - School of Medicine, The University of Texas Health Science Center San Antonio, San Antonio, TX, United States. FAU - Frei, Christopher AU - Frei C AD - South Texas Veterans Health Care System, Veterans Health Administration, United States Department of Veterans Affairs, San Antonio, TX, United States. AD - College of Pharmacy, The University of Texas at Austin, Austin, TX, United States. AD - School of Medicine, The University of Texas Health Science Center San Antonio, San Antonio, TX, United States. FAU - Oliver, Ashley AU - Oliver A AD - South Texas Veterans Health Care System, Veterans Health Administration, United States Department of Veterans Affairs, San Antonio, TX, United States. AD - College of Pharmacy, The University of Texas at Austin, Austin, TX, United States. AD - School of Medicine, The University of Texas Health Science Center San Antonio, San Antonio, TX, United States. LA - eng PT - Journal Article DEP - 20230505 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC10196446 OTO - NOTNLM OT - decompensated OT - education OT - emergency room (ER) OT - heart failure OT - pharmacotherapy OT - readmission COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/05/22 19:11 MHDA- 2023/05/22 19:12 PMCR- 2023/01/01 CRDT- 2023/05/22 12:28 PHST- 2022/12/29 00:00 [received] PHST- 2023/04/17 00:00 [accepted] PHST- 2023/05/22 19:12 [medline] PHST- 2023/05/22 19:11 [pubmed] PHST- 2023/05/22 12:28 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2023.1133988 [doi] PST - epublish SO - Front Cardiovasc Med. 2023 May 5;10:1133988. doi: 10.3389/fcvm.2023.1133988. eCollection 2023.