Congestive Heart Failure

JOURNAL ARTICLE

Today's 'Meaningful Use' Standard for Medication Orders by Hospitals May Save Few Lives; Later Stages May Do More — Sep 30, 2011

Current federal standards for hospital "meaningful use" of health information technology--which requires electronic medication orders for 30 percent of eligible patients--are probably too low to reduce deaths from heart failure and heart attack among hospitalized Medicare beneficiaries.

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JOURNAL ARTICLE

National Heart, Lung, and Blood Institute Working Group on Emergency Department Management of Acute Heart Failure: Research Challenges and Opportunities — Jun 30, 2010

This paper presents research recommendations from the National Heart, Lung, and Blood Institute Working Group on emergency department management of acute heart failure.

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JOURNAL ARTICLE

Heart Failure: The Hidden Problem of Pain — Dec 31, 2008

Although dyspnea and fatigue are hallmark symptoms of heart failure (HF), the burden of pain may be underrecognized. This study assessed pain in HF and identified contributing factors.

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JOURNAL ARTICLE

Hospital Competition, Managed Care, and Mortality After Hospitalization for Medical Conditions in California — Mar 31, 2007

Hospitals that faced more competition and hospitals in market areas with higher HMO penetration provided higher quality of care for adult patients with medical conditions in California. Studies using linked hospital discharge and vital statistics data from other states should be conducted to determine whether these findings are generalizable.

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JOURNAL ARTICLE

Physical Functioning and Mental Well-Being in Association with Health Outcome in Patients Enrolled in the Multicenter Automatic Defibrillator Implantation Trial II — Dec 31, 2006

Lower baseline PCS and MCS are associated with unfavourable health outcome in MADIT II patients, but not with appropriate ICD therapy for ventricular tachyarrhythmias. Patients who experience ICD shock reported a decrease in PCS, but little or no changes in MCS.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Congestive Heart Failure Disease Management in Medicare-managed Care — Dec 31, 2006

Describes the use, structure, and content of initiatives from the Centers for Medicare and Medicaid Services to encourage Medicare managed care plans to introduce congestive heart failure (CHF) disease management programs.

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RESEARCH BRIEF

Effects of Medicare's Prospective Payment System on the Quality of Hospital Care — Jun 13, 2006

This research brief summarizes a study of how Medicare's prospective payment system (PPS) affected the quality of care for hospitalized Medicare patients.

• Research Brief
• Health and Health Care Research Area

JOURNAL ARTICLE

Does Date Stamping ICD-9-CM Codes Increase the Value of Clinical Information in Administrative Data? — Dec 31, 2005

Comorbidity measures are designed to exclude complications when they map International Classification of Diseases (ICD-9-CM) codes to diagnostic categories.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence from Three States — Dec 31, 2005

Assesses the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin.

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JOURNAL ARTICLE

Isolation of Health Services Research from Practice and Policy: The Example of Chronic Health Failure Management — Dec 31, 2005

The Congressional hearings leading to these Medicare reforms, and the statute itself, mostly evidence the model used by commercial disease-management firms.

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• News Release

JOURNAL ARTICLE

A Meta-Analysis of Interventions to Improve Care for Chronic Illnesses — Jul 31, 2005

Interventions that contain at least 1 CCM element improve clinical outcomes and processes of care-and to a lesser extent, quality of life-for patients with chronic illnesses.

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• Related Report

JOURNAL ARTICLE

Patient Characteristics Associated with Care By a Cardiologist Among Adults Hospitalized with Severe Congestive Heart Failure — Dec 31, 1999

The goal of this study was to determine factors associated with receiving cardiologist care among patients with an acute exacerbation of congestive heart failure.

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• Health and Health Care Research Area

JOURNAL ARTICLE

The Last Six Months of Life for Patients with Congestive Heart Failure — Dec 31, 1999

To characterize the experiences of patients with congestive heart failure (CHF) during their last 6 months of life.

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• Health and Health Care Research Area

JOURNAL ARTICLE

Resuscitation Preferences Among Patients with Severe Congestive Heart Failure: Results from the Support Project — Dec 31, 1997

The authors sought to describe the resuscitation preferences of patients hospitalized with an exacerbation of severe congestive heart failure, perceptions of those preferences by their physicians, and the stability of the preferences.

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REPORT

An Implicit Review Method for Measuring the Quality of In-hospital Nursing Care of Elderly Congestive Heart Failure Patients — Jan 1, 1997

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JOURNAL ARTICLE

Management of Heart Failure — Dec 31, 1993

Discusses the role of revascularization in the treatment of patients with severe heart failure. It concludes that CABG improves three-year survival rates in patients with moderate to severe left ventricular dysfunction and limiting angina.

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JOURNAL ARTICLE

Development of the AHCPR-sponsored Heart Failure Guideline: Methodologic and Procedural Issues — Dec 31, 1993

In its capacity as a contractor for AHCPR, RAND presided over a 16-member panel charged with developing a guideline for the management of patients with heart failure. Panel discussions about practice recommendations were held until consensus was reached. This article summarizes methodologic and procedural issues involved in this process.

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JOURNAL ARTICLE

Management of Heart Failure — Dec 31, 1993

Counseling, education, and lifestyle modifications in CHF patients are the subject of this article, which presents the recommendations of the RAND Guideline Panel on congestive heart failure that counseling and education be used to improve patient outcomes and decrease unnecessary hospitalizations, that patients with mild to moderate heart failure should be restricted to three grams of sodium per day, that, initially, patients should be…

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JOURNAL ARTICLE

Management of Heart Failure — Dec 31, 1993

Deals with pharmacological treatment of congestive heart failure (CHF). It concludes that angiotensin-converting-enzyme (ACE) inhibitors should be given to all patients who have experienced heart failure unless specific contraindications exist. Diuretics should be used judiciously early in treatment to prevent excess diuresis. Digoxin has not been shown to affect the natural history of heart failure, and isosorbide dinitrate and…

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JOURNAL ARTICLE

Management of Heart Failure — Dec 31, 1993

Deals with anticoagulation for patients with heart failure due to left ventricular systolic dysfunction. It concludes that findings regarding the relationship between ventricular function and thromboembolic events are contradictory. Until adequate studies are performed, anticoagulation should be discouraged for patients with heart failure who are in sinus rhythm.

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