Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting

Mogens K Andersen; John D Markenvard; Hanne Schjøtt; Hanne L Nielsen; Finn Gustafsson

doi:10.1080/14017430510009186

Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting

Mogens K Andersen, John D Markenvard, Hanne Schjøtt, Hanne L Nielsen, Finn Gustafsson

13 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate the effect of a nurse-led heart failure clinic on drug therapy and hospitalization in a community hospital setting.

DESIGN: Prospective, observational study of outpatients referred to a heart failure clinic. Nurses directed drug uptitration and delivered patient education. Utilization and doses of ACE inhibitors and beta-blockers were analyzed as were heart failure related admissions in the years before and after establishing the clinic.

RESULTS: 138 patients (median age 68.5 years) were enrolled. After three months 94% of patients were taking an ACE inhibitor and beta-blockade was prescribed for 91%. Mean ACE inhibitor dose relative to target dose after three months was 77+/-30% and mean beta-blocker dose was 53+/-31% of the target dose. Heart failure admissions decreased by 45% after the clinic was established.

CONCLUSIONS: Community hospital based heart failure clinics may promote utilization of evidence based drug therapy and cause a substantial decrease in heart failure admissions, producing results comparable to those obtained in studies of university hospital based heart failure management programs.

Original language	English
Book series	Scandinavian Cardiovascular Journal. Supplementum
Volume	39
Issue number	4
Pages (from-to)	199-205
Number of pages	7
ISSN	1401-7431
DOIs	https://doi.org/10.1080/14017430510009186
Publication status	Published - Sept 2005
Externally published	Yes

Keywords

Adrenergic beta-Antagonists/administration & dosage
Aged
Aged, 80 and over
Angiotensin-Converting Enzyme Inhibitors/administration & dosage
Dose-Response Relationship, Drug
Echocardiography
Female
Follow-Up Studies
Health Care Surveys
Heart Failure/nursing
Hospitals, Community/trends
Humans
Male
Middle Aged
Myocardial Ischemia/diagnostic imaging
Nurse-Patient Relations
Outpatient Clinics, Hospital/trends
Patient Admission/trends
Patient Satisfaction
Prospective Studies
Stroke Volume/physiology
Treatment Outcome

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10.1080/14017430510009186

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title = "Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting",

abstract = "OBJECTIVE: To evaluate the effect of a nurse-led heart failure clinic on drug therapy and hospitalization in a community hospital setting.DESIGN: Prospective, observational study of outpatients referred to a heart failure clinic. Nurses directed drug uptitration and delivered patient education. Utilization and doses of ACE inhibitors and beta-blockers were analyzed as were heart failure related admissions in the years before and after establishing the clinic.RESULTS: 138 patients (median age 68.5 years) were enrolled. After three months 94\% of patients were taking an ACE inhibitor and beta-blockade was prescribed for 91\%. Mean ACE inhibitor dose relative to target dose after three months was 77+/-30\% and mean beta-blocker dose was 53+/-31\% of the target dose. Heart failure admissions decreased by 45\% after the clinic was established.CONCLUSIONS: Community hospital based heart failure clinics may promote utilization of evidence based drug therapy and cause a substantial decrease in heart failure admissions, producing results comparable to those obtained in studies of university hospital based heart failure management programs.",

keywords = "Adrenergic beta-Antagonists/administration \& dosage, Aged, Aged, 80 and over, Angiotensin-Converting Enzyme Inhibitors/administration \& dosage, Dose-Response Relationship, Drug, Echocardiography, Female, Follow-Up Studies, Health Care Surveys, Heart Failure/nursing, Hospitals, Community/trends, Humans, Male, Middle Aged, Myocardial Ischemia/diagnostic imaging, Nurse-Patient Relations, Outpatient Clinics, Hospital/trends, Patient Admission/trends, Patient Satisfaction, Prospective Studies, Stroke Volume/physiology, Treatment Outcome",

author = "Andersen, \{Mogens K\} and Markenvard, \{John D\} and Hanne Schj{\o}tt and Nielsen, \{Hanne L\} and Finn Gustafsson",

year = "2005",

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doi = "10.1080/14017430510009186",

language = "English",

volume = "39",

pages = "199--205",

journal = "Scandinavian Cardiovascular Journal. Supplementum",

issn = "1401-7431",

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T1 - Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting

AU - Andersen, Mogens K

AU - Markenvard, John D

AU - Schjøtt, Hanne

AU - Nielsen, Hanne L

AU - Gustafsson, Finn

PY - 2005/9

Y1 - 2005/9

N2 - OBJECTIVE: To evaluate the effect of a nurse-led heart failure clinic on drug therapy and hospitalization in a community hospital setting.DESIGN: Prospective, observational study of outpatients referred to a heart failure clinic. Nurses directed drug uptitration and delivered patient education. Utilization and doses of ACE inhibitors and beta-blockers were analyzed as were heart failure related admissions in the years before and after establishing the clinic.RESULTS: 138 patients (median age 68.5 years) were enrolled. After three months 94% of patients were taking an ACE inhibitor and beta-blockade was prescribed for 91%. Mean ACE inhibitor dose relative to target dose after three months was 77+/-30% and mean beta-blocker dose was 53+/-31% of the target dose. Heart failure admissions decreased by 45% after the clinic was established.CONCLUSIONS: Community hospital based heart failure clinics may promote utilization of evidence based drug therapy and cause a substantial decrease in heart failure admissions, producing results comparable to those obtained in studies of university hospital based heart failure management programs.

AB - OBJECTIVE: To evaluate the effect of a nurse-led heart failure clinic on drug therapy and hospitalization in a community hospital setting.DESIGN: Prospective, observational study of outpatients referred to a heart failure clinic. Nurses directed drug uptitration and delivered patient education. Utilization and doses of ACE inhibitors and beta-blockers were analyzed as were heart failure related admissions in the years before and after establishing the clinic.RESULTS: 138 patients (median age 68.5 years) were enrolled. After three months 94% of patients were taking an ACE inhibitor and beta-blockade was prescribed for 91%. Mean ACE inhibitor dose relative to target dose after three months was 77+/-30% and mean beta-blocker dose was 53+/-31% of the target dose. Heart failure admissions decreased by 45% after the clinic was established.CONCLUSIONS: Community hospital based heart failure clinics may promote utilization of evidence based drug therapy and cause a substantial decrease in heart failure admissions, producing results comparable to those obtained in studies of university hospital based heart failure management programs.

KW - Adrenergic beta-Antagonists/administration & dosage

KW - Aged

KW - Aged, 80 and over

KW - Angiotensin-Converting Enzyme Inhibitors/administration & dosage

KW - Dose-Response Relationship, Drug

KW - Echocardiography

KW - Female

KW - Follow-Up Studies

KW - Health Care Surveys

KW - Heart Failure/nursing

KW - Hospitals, Community/trends

KW - Humans

KW - Male

KW - Middle Aged

KW - Myocardial Ischemia/diagnostic imaging

KW - Nurse-Patient Relations

KW - Outpatient Clinics, Hospital/trends

KW - Patient Admission/trends

KW - Patient Satisfaction

KW - Prospective Studies

KW - Stroke Volume/physiology

KW - Treatment Outcome

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U2 - 10.1080/14017430510009186

DO - 10.1080/14017430510009186

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SN - 1401-7431

VL - 39

SP - 199

EP - 205

JO - Scandinavian Cardiovascular Journal. Supplementum

JF - Scandinavian Cardiovascular Journal. Supplementum

IS - 4

ER -

Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting

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