Effects of Person-Centred and Integrated Chronic Heart Failure and Palliative Home Care. PREFER: A Randomized Controlled Study

Margareta Brännström; Kurt Boman

doi:10.1002/ejhf.151

journal article Aug 27, 2014

Effects of Person-Centred and Integrated Chronic Heart Failure and Palliative Home Care. PREFER: A Randomized Controlled Study

Margareta Brännström Kurt Boman

European Journal of Heart Failure Vol. 16 No. 10 pp. 1142-1151 · Oxford University Press (OUP)

View at Publisher Save 10.1002/ejhf.151

Abstract

Abstract

Aims
We evaluated the outcome of person-centred and integrated Palliative advanced home caRE and heart FailurE caRe (PREFER) with regard to patient symptoms, health-related quality of life (HQRL), and hospitalizations compared with usual care.

Methods and results
From January 2011 to October 2012, 36 (26 males, 10 females, mean age 81.9 years) patients with chronic heart failure (NYHA class III–IV) were randomized to PREFER and 36 (25 males, 11 females, mean age 76.6 years) to the control group at a single centre. Prospective assessments were made at 1, 3, and 6 months using the Edmonton Symptom Assessment Scale, Euro Qol, Kansas City Cardiomyopathy Questionnaire, and rehospitalizations. Between-group analysis revealed that patients receiving PREFER had improved HRQL compared with controls (57.6 ± 19.2 vs. 48.5 ± 24.4, age-adjusted P-value = 0.05). Within-group analysis revealed a 26% improvement in the PREFER group for HRQL (P = 0.046) compared with 3% (P = 0.82) in the control group. Nausea was improved in the PREFER group (2.4 ± 2.7 vs. 1.7 ± 1.7, P = 0.02), and total symptom burden, self-efficacy, and quality of life improved by 18% (P = 0.035), 17% (P = 0.041), and 24% (P = 0.047), respectively. NYHA class improved in 11 of the 28 (39%) PREFER patients compared with 3 of the 29 (10%) control patients (P = 0.015). Fifteen rehospitalizations (103 days) occurred in the PREFER group, compared with 53 (305 days) in the control group.

Conclusion
Person-centred care combined with active heart failure and palliative care at home has the potential to improve quality of life and morbidity substantially in patients with severe chronic heart failure.
Trial registration: NCT01304381

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Metrics

313

Citations

30

References

Details

Published: Aug 27, 2014
Vol/Issue: 16(10)
Pages: 1142-1151
License: View

Authors

M

Margareta Brännström

Strategic Research Program in Health Care Sciences (SFO-V), ‘Bridging Research and Practice for Better Health’, Department of Nursing, Umeå University , Umeå ,

K

Kurt Boman

Research unit, Department of Medicine, Skellefteå, Institution of Public Health and Clinical Medicine, Umeå University , Umeå ,

Funding

Swedish Association of Local Authorities and Regions

Swedish Heart and Lung Association

Ronnbaret Foundation Skelleftea Municipality

Cite This Article

Margareta Brännström, Kurt Boman (2014). Effects of Person-Centred and Integrated Chronic Heart Failure and Palliative Home Care. PREFER: A Randomized Controlled Study. European Journal of Heart Failure, 16(10), 1142-1151. https://doi.org/10.1002/ejhf.151

Effects of Person-Centred and Integrated Chronic Heart Failure and Palliative Home Care. PREFER: A Randomized Controlled Study

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