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https://doi.org/10.1177/2048872617744352
Title: | An East-West comparison of self-care barriers in heart failure. | Authors: | Lim, Shir Lynn Chan, Siew Pang Lee, Kim Yee Ching, Anne Holden, Richard J Miller, Karen F Storrow, Alan B Lam, Carolyn Sp Collins, Sean P |
Keywords: | Self-care barriers acute heart failure geographic differences heart failure re-hospitalization Aged Delivery of Health Care Female Follow-Up Studies Heart Failure Hospitalization Humans Male Prevalence Prospective Studies Registries Self Care Singapore Surveys and Questionnaires Survival Rate |
Issue Date: | Oct-2019 | Publisher: | SAGE Publications | Citation: | Lim, Shir Lynn, Chan, Siew Pang, Lee, Kim Yee, Ching, Anne, Holden, Richard J, Miller, Karen F, Storrow, Alan B, Lam, Carolyn Sp, Collins, Sean P (2019-10). An East-West comparison of self-care barriers in heart failure.. Eur Heart J Acute Cardiovasc Care 8 (7) : 615-622. ScholarBank@NUS Repository. https://doi.org/10.1177/2048872617744352 | Abstract: | BACKGROUND: Barriers in heart failure self-care contribute to heart failure hospitalizations, but geographic differences have not been well-studied. We aimed to compare self-care barriers in heart failure patients managed at tertiary centers in an Eastern (Singapore) versus a Western (USA) nation. METHODS: Acute heart failure patients were prospectively assessed with a standardized instrument comprising of 47 distinct self-care barriers. The multi-equation generalized structural equation model was used to evaluate for geographic differences in barriers experienced, and association of barriers with outcomes. RESULTS: Patient-related factors accounted for six out of 10 most prevalent self-care barriers among the 90 patients, with a median number of 11 barriers reported per patient. The Western patients reported a higher level of barriers when compared with their Eastern counterparts (median (interquartile range) 15 (9-24) versus 9 (4-16), p=0.001), after adjusting for demographics and co-morbidities. Many of these differences could be explained by geographic differences between the countries. There was no significant difference identified in all-cause mortality (19.4% versus 10.2%) and heart failure re-hospitalization (41.9% versus 45.8%) at six months between the groups. CONCLUSIONS: Self-care barriers are highly prevalent among acute heart failure patients, and differ substantially between East and West, but were not associated with geographic differences in outcomes. | Source Title: | Eur Heart J Acute Cardiovasc Care | URI: | https://scholarbank.nus.edu.sg/handle/10635/183397 | ISSN: | 20488726 20488734 |
DOI: | 10.1177/2048872617744352 |
Appears in Collections: | Staff Publications Elements |
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