Post-discharge heart failure monitoring program in Turkey: Hit-PoinT

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dc.authoridZoghi, Prof. Dr. Mehdi/0000-0002-8156-2675
dc.authoridEren, Mehmet/0000-0002-5570-705X;
dc.authorwosidZoghi, Prof. Dr. Mehdi/ABB-9550-2020
dc.authorwosidSari, İbrahim/A-5771-2018
dc.authorwosidCavusoglu, Yuksel/JWA-0879-2024
dc.authorwosidEren, Mehmet/ACD-8031-2022
dc.authorwosidAKTOZ, MERYEM/M-9023-2018
dc.authorwosidOrhan, Ahmet/AFJ-8925-2022
dc.authorwosidSenturk, Tunay/C-1517-2017
dc.contributor.authorCavusoglu, Yuksel
dc.contributor.authorZoghi, Mehdi
dc.contributor.authorEren, Mehmet
dc.contributor.authorBozcali, Evin
dc.contributor.authorKozdag, Guliz
dc.contributor.authorSenturk, Tunay
dc.contributor.authorAlicik, Guray
dc.date.accessioned2024-06-12T11:03:04Z
dc.date.available2024-06-12T11:03:04Z
dc.date.issued2017
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to assess the efficacy and feasibility of an enhanced heart failure (HF) education with a 6-month telephone follow- up program in post-discharge ambulatory HF patients. Methods: The Hit-Point trial was a multicenter, randomized, controlled trial of enhanced HF education with a 6-month telephone follow-up program (EHFP) vs routine care (RC) in patients with HF and reduced ejection fraction. A total of 248 patients from 10 centers in various geographical areas were randomized: 125 to EHFP and 123 to RC. Education included information on adherence to treatment, symptom recognition, diet and fluid intake, weight monitoring, activity and exercise training. Patients were contacted by telephone after 1, 3, and 6 months. The primary study endpoint was cardiovascular death. Results: Although all-cause mortality didn't differ between the EHFP and RC groups (p=NS), the percentage of cardiovascular deaths in the EHFP group was significantly lower than in the RC group at the 6-month follow up (5.6% vs. 8.9%, p=0.04). The median number of emergency room visits was one and the median number of all cause hospitalizations and heart failure hospitalizations were zero. Twenty-tree percent of the EHFP group and 35% of the RC group had more than a median number of emergency room visits (p=0.05). There was no significant difference regarding the median number of all-cause or heart failure hospitalizations. At baseline, 60% of patients in EHFP and 61% in RC were in NYHA Class III or IV, while at the 6-month follow up only 12% in EHFP and 32% in RC were in NYHA Class III or IV (p=0.001). Conclusion: These results demonstrate the potential clinical benefits of an enhanced HF education and follow up program led by a cardiologist in reducing cardiovascular deaths and number of emergency room visits with an improvement in functional capacity at 6 months in post-discharge ambulatory HF patientsen_US
dc.description.sponsorshipWorking Group on Heart Failure of the Turkish Society of Cardiologyen_US
dc.description.sponsorshipThis study had been designed, supported and conducted by the Working Group on Heart Failure of the Turkish Society of Cardiology.en_US
dc.identifier.doi10.14744/AnatolJCardiol.2016.6812
dc.identifier.endpage112en_US
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue2en_US
dc.identifier.pmid27488754en_US
dc.identifier.scopus2-s2.0-85015290690en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage107en_US
dc.identifier.urihttps://doi.org/10.14744/AnatolJCardiol.2016.6812
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21505
dc.identifier.volume17en_US
dc.identifier.wosWOS:000396901400006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofAnatolian Journal Of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHeart Failureen_US
dc.subjectDisease Managementen_US
dc.subjectCardiovascularen_US
dc.subjectHealth Educationen_US
dc.subjectOutcomesen_US
dc.subjectDisease Management Programsen_US
dc.subjectOlder Patientsen_US
dc.subjectFollow-Upen_US
dc.subjectHigh-Risken_US
dc.subjectCareen_US
dc.subjectSystemen_US
dc.subjectAdmissionen_US
dc.subjectTrialen_US
dc.subjectInterventionen_US
dc.subjectMetaanalysisen_US
dc.titlePost-discharge heart failure monitoring program in Turkey: Hit-PoinTen_US
dc.typeArticleen_US

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