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Developing a core o...
Developing a core outcome set for patient-reported symptom monitoring to reduce hospital admissions for patients with heart failure
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- Lawson, Claire A. (author)
- Univ Leicester, England; Glenfield Hosp, England
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- Lam, Carolyn (author)
- Natl Heart Ctr Singapore, Singapore; Duke NUS Med Sch, Singapore; Univ Med Ctr Groningen, Netherlands; George Inst Global Hlth, Australia
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- Jaarsma, Tiny (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
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- Kadam, Umesh (author)
- Univ Leicester, England
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- Strömberg, Anna (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Ali, Mohammad (author)
- Univ Leicester, England; Glenfield Hosp, England
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- Tay, Wan Ting (author)
- Natl Heart Ctr Singapore, Singapore
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- Clayton, Louise (author)
- Univ Hosp Leicester, England
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- Khunti, Kamlesh (author)
- Univ Leicester, England
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- Squire, Iain (author)
- Univ Leicester, England; Glenfield Hosp, England
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(creator_code:org_t)
- 2022-04-11
- 2022
- English.
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press. - 1474-5151 .- 1873-1953. ; 21:8, s. 830-839
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Aims In patients with heart failure (HF), hospitalization rates are increasing, particularly for non-HF causes and over half may be avoidable. Self-monitoring of symptoms plays a key part in the early identification of deterioration. Our objective was to develop expert consensus for a core outcome set (COS) of symptoms to be monitored by patients, using validated single-item patient-reported outcome measures (PROMs), focused on the key priority of reducing admissions in HF. Methods and results A rigorous COS development process incorporating systematic review, modified e-Delphi and nominal group technique (NGT) methods. Participants included 24 HF patients, 4 carers, 29 HF nurses, and 9 doctors. In three Delphi and NGT rounds, participants rated potential outcomes on their importance before a HF or a non-HF admission using a 5-point Likert scale. Opinion change between rounds was assessed and a two-thirds threshold was used for outcome selection. Item generation using systematic review identified 100 validated single-item PROMs covering 34 symptoms or signs, relevant to admission for people with HF. De-duplication and formal consensus processes, resulted in a COS comprising eight symptoms and signs; shortness of breath, arm or leg swelling, abdomen bloating, palpitations, weight gain, chest pain, anxiety, and overall health. In the NGT, a numerical rating scale was selected as the optimal approach to symptom monitoring. Conclusion Recognition of a range of HF-specific and general symptoms, alongside comorbidities, is an important consideration for admission prevention. Further work is needed to validate and integrate the COS in routine care with the aim of facilitating faster identification of clinical deterioration. [GRAPHICS] .
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Heart failure; Patient-reported outcomes measures; Consensus
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Lawson, Claire A ...
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Lam, Carolyn
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Jaarsma, Tiny
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Kadam, Umesh
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Strömberg, Anna
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Ali, Mohammad
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show more...
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Tay, Wan Ting
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Clayton, Louise
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Khunti, Kamlesh
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Squire, Iain
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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European Journal ...
- By the university
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Linköping University