A5071306366- Heart Failure Treatment and Management
- Medication Adherence and Compliance
- Health Sciences Research and Education
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Health Policy Implementation Science
- Cardiac Health and Mental Health
- Chronic Disease Management Strategies
- Nursing Diagnosis and Documentation
- Geriatric Care and Nursing Homes
- Cardiovascular Health and Risk Factors
- Palliative Care and End-of-Life Issues
- Blood Pressure and Hypertension Studies
- Clinical practice guidelines implementation
- Mobile Health and mHealth Applications
- Family and Patient Care in Intensive Care Units
- Nursing education and management
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac pacing and defibrillation studies
- Primary Care and Health Outcomes
- Cardiac Arrest and Resuscitation
- Patient Satisfaction in Healthcare
- Diabetes Management and Education
- Pharmaceutical studies and practices
Duke University Health System
2015-2025
Duke University
2016-2025
University of Puerto Rico at Carolina
2025
Financial Research Institute of the Ministry of Finance of the Russian Federation
2025
Duke Institute for Health Innovation
2021-2024
Clinical Research Institute
2015-2024
Keio University
2024
Hindustan Aeronautics Limited (India)
2023
La Grange Public Library
2018-2023
Comité Champagne
2023
Heart failure is a clinical syndrome that affects >6.5 million Americans, with an estimated 550 000 new cases diagnosed each year. The complexity of heart management compounded by the number patients who experience adverse downstream effects social determinants health (SDOH). These are less able to access care and more likely poor outcomes over time. Many face additional challenges associated cost complex, chronic illness must make difficult decisions about their own health, particularly...
<h3>Importance</h3> Adoption of guideline-directed medical therapy for patients with heart failure is variable. Interventions to improve have failed consistently achieve target metrics, and limited data exist inform efforts quality care. <h3>Objective</h3> To evaluate the effect a hospital postdischarge improvement intervention compared usual care on outcomes <h3>Design, Setting, Participants</h3> This cluster randomized clinical trial was conducted at 161 US hospitals included 5647 (2675 vs...
Background The COVID-19 pandemic resulted in a rapid implementation of telemedicine into clinical practice. This study examined whether early outpatient follow-up via is as effective in-person visits for reducing 30-day readmissions patients with heart failure. Methods and Results Using electronic health records from large system, we included failure living North Carolina (N=6918) who were hospitalized between March 16, 2020 14, 2021. All-cause readmission within 30 days after discharge was...
To handle the increasing complexity of congestive heart failure (CHF) care, several new models for care patients with CHF have been developed to replace traditional strategies. We undertook this study evaluate potential benefit implementing a disease management program at tertiary center, particularly in terms beta-blocker use and cost health system.After reviewing literature regarding therapies strategies CHF, we Duke Heart Failure Program. All enrolled had 1 following: recent...
Background and Research Objective: Despite the known benefit of self-care strategies for symptom management in heart failure (HF), most patients are unable to perform activities successfully. This study therefore examined how communication about HF regimen between their physicians is experienced understood by both partners. Subjects Methods: Six pairs (n = 12) adult with who were admitted acute exacerbation interviewed this qualitative descriptive inpatient setting. Semistructured in-depth...
Objective: We assessed the sensitivity and specificity of 8 electronic health record (EHR)-based phenotypes for diabetes mellitus against gold-standard American Diabetes Association (ADA) diagnostic criteria via chart review by clinical experts. Materials Methods: identified EHR-based phenotype definitions that were developed various purposes a variety users, including academic medical centers, Medicare, New York City Health Department, pharmacy benefit managers. applied these to sample 173...
Central line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and $2.3 billion added costs to the U.S. healthcare system each year, yet, many of these are preventable. At two large health systems southeast United States, CLABSIs continue be an area opportunity. Despite strong evidence for interventions prevent CLABSI reduce associated patient harm, such as use chlorhexidine gluconate (CHG) bathing, adoption practice is poor. The primary objective this study...
Fatigue is a common symptom in patients with chronic heart failure (CHF). Characteristics of the experience and consequences fatigue might be unique these patients. The authors interviewed 15 CHF analyzed focused online observations content discussed an Internet patient discussion group concerning using grounded theory. results suggest that circular process which further exaggerate experience. However, could alleviated by restorative activities. bodily was defined as lacking strength energy...
Tailoring care for patients and their families at the end of life is important.To examine factors associated with patients' choices level life.Data on demographics (full code, do not resuscitate, or withdrawal support) were collected 1072 who died between January 1998 June 2006 a cardiac unit. Logistic regression was used to identify care.Median (interquartile range) age blacks 64 (50-74) years whites 70 (62-78) years. At time death, differed significantly whites: 41.8% (n = 112) versus...
The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain.The aim this paper is to review the current state HIT as it relates adherence programs, acknowledge potential barriers in light legislation, and provide recommendations ongoing strategies through HIT.We describe four that impact interoperability subsequent adherence. Legislation United States has incentivized facilitate enhance Health Information Technology Economic...
Background: Palliative care improves quality of life in patients with heart failure. Whether men and women failure derive similar benefit from palliative interventions remains unknown. Methods: In a secondary analysis the PAL-HF trial (Palliative Care Heart Failure), we analyzed differences among assessed for differential effects intervention by sex. Differences clinical characteristics quality-of-life metrics were compared between at serial time points. The primary outcome was change Kansas...