【醫(yī)學(xué)課件】充血性心力衰竭ppt課件(參考版)
2025-01-18 20:47本頁(yè)面
【正文】 110:14501455 Characteristics of the System 1. Focus on patients who have a resent HF hospitalization 2. Administered by nurses as case managers with strong expertise in HF with the support of HF physicians acting as consultants to the nurses. 3. Telephone monitoring and limited home visits 4. Communication between the nurse and the PCP 5. Provided a threemonth “active intervention” followed by surveillance out to 1 year Hypothesis A uniform disease management program will: ?Reduce the cost of medical care ?Increase the time to hospitalization or death ?Decrease the frequency of admission for HF. ?Increase the total number of days alive out of hospital ?Improve indices of healthrelated quality of life Characteristics of the Study Population Inclusion ? Patients d/c with a primary diagnosis of heart failure ?Etiology of HF may include: IHD, Dilated CMP, corrected valve disease or regurgitant valve disease deemed uncorrectable due to severe LV dysfunction, hypertension, or hypertrophic disease of the elderly ? LVEF within 6 months showing nonsystolic HF ? Patient care provided by a physician other than a SPAN CHF provider Patient Characteristics Intervention (n=97) Control (n=103) P Age (mean + SD) + + Female Gender, % NS Ischemic CMP, % NS Hypertension, % NS Diabetes NS EF mean + 14 + 12 NS Medications, % NS ACE ARB ACE or ARB Bblocker Diuretics Days 180 150 120 90 60 30 0 Cumulative Event Free Survival .9 .8 .7 .6 .5 Treatment intervention control SPANCHF: EVENT FREE SURVIVAL SPANCHF: HF Hospitalizations, Hospital Days / PatientYear Alive in Initial 90 Days 1. 140. 557. 84. 3012345678H os p i ta l i z a ti on s H os p i ta l D a y sC on tr olI n te r v e n ti onRR= P= RR= P SPANCHF: HF Hospitalizations, Hospital Days / PatientYear Alive 1 Year 0. 73 0. 744. 94. 300. 51
教學(xué)課件相關(guān)推薦
鄂ICP備17016276號(hào)-1