Your browser doesn't support javascript.
loading
Association of a Transitional Heart Failure Management Program With Readmission and End-of-Life Care in Rural Japan.
Kinugasa, Yoshiharu; Nakamura, Kensuke; Hirai, Masayuki; Manba, Midori; Ishiga, Natsuko; Sota, Takeshi; Nakayama, Natsuko; Ohta, Tomoki; Kato, Masahiko; Adachi, Toshiaki; Fukuki, Masaharu; Hirota, Yutaka; Mizuta, Einosuke; Mura, Emiko; Nozaka, Yoshihito; Omodani, Hiroki; Tanaka, Hiroaki; Tanaka, Yasunori; Watanabe, Izuru; Mikami, Masaaki; Yamamoto, Kazuhiro.
Afiliação
  • Kinugasa Y; Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan.
  • Nakamura K; Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan.
  • Hirai M; Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan.
  • Manba M; Division of Nursing, Tottori University Hospital Yonago Japan.
  • Ishiga N; Division of Rehabilitation, Tottori University Hospital Yonago Japan.
  • Sota T; Division of Rehabilitation, Tottori University Hospital Yonago Japan.
  • Nakayama N; Division of Nutrition, Tottori University Hospital Yonago Japan.
  • Ohta T; Division of Pharmacy, Tottori University Hospital Yonago Japan.
  • Kato M; Department of Pathobiological Science and Technology, School of Health Science, Faculty of Medicine, Tottori University Yonago Japan.
  • Adachi T; Adachi Clinic Yonago Japan.
  • Fukuki M; Department of Cardiology, Yonago Medical Center Yonago Japan.
  • Hirota Y; Tomimasu Medical and Dental Clinic Yonago Japan.
  • Mizuta E; Department of Cardiology, Sanin Rosai Hospital Yonago Japan.
  • Mura E; Visiting Nurse Station Nanbu Kohoen Yonago Japan.
  • Nozaka Y; Nozaka Clinic Yonago Japan.
  • Omodani H; Omodani Internal Medicine and Cardiovascular Medicine Clinic Yonago Japan.
  • Tanaka H; Department of Cardiology, Tottori Prefecture Sakaiminato General Hospital Sakaiminato Japan.
  • Tanaka Y; Department of Cardiology, Hakuai Hospital Yonago Japan.
  • Watanabe I; Department of Nursing, Sanin Rosai Hospital Yonago Japan.
  • Mikami M; Hoshoji Clinic Nanbucho Japan.
  • Yamamoto K; Department of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University Yonago Japan.
Circ Rep ; 6(5): 168-177, 2024 May 10.
Article em En | MEDLINE | ID: mdl-38736846
ABSTRACT

Background:

Evidence on transitional care for heart failure (HF) in Japan is limited. Methods and 

Results:

We implemented a transitional HF management program in rural Japan in 2019. This involved collaboration with general practitioners or nursing care facilities and included symptom monitoring by medical/nursing staff using a handbook; standardized discharge care planning and information sharing on self-care and advance care planning using a collaborative sheet; and sharing expertise on HF management via manuals. We compared the outcomes within 1 year of discharge among patients hospitalized with HF in the 2 years before program implementation (2017-2018; historical control, n=198), in the first 2 years after program implementation (2019-2020; Intervention Phase 1, n=205), and in the second 2 years, following program revision and regional dissemination (2021-2022; Intervention Phase 2, n=195). HF readmission rates gradually decreased over Phases 1 and 2 (P<0.05). This association was consistent regardless of physician expertise, follow-up institution, or the use of nursing care services (P>0.1 for interaction). Mortality rates remained unchanged, but significantly more patients received end-of-life care at home in Phase 2 than before (P<0.05).

Conclusions:

The implementation of a transitional care program was associated with decreased HF readmissions and increased end-of-life care at home for HF patients in rural Japan.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article