Catherine N. Marti|Vasiliki V. Georgiopoulou|Grigorios Giamouzis|Robert T. Cole|Anjan Deka|W.H. Wilson Tang|Sandra B. Dunbar|Andrew L. Smith|Andreas P. Kalogeropoulos|Javed Butler
Patient?Reported Selective Adherence to Heart Failure Self?Care Recommendations: A Prospective Cohort Study: The Atlanta Cardiomyopathy Consortium
Emory University|Emory University|University of Thessaly|Emory University|Emory University|Cleveland Foundation|Cleveland Clinic|Emory University|Emory University|Emory University|Emory University
2012 wiley periodicals inc simultaneous adherence multiple selfcare instructions among heart failure hf patients well described patientreported adherence 8 recommendations related exercise alcohol medications smoking diet weight symptoms assessed among 308 hf patients using medical outcomes study specific adherence scale questionnaire 0never 5always maximum score40 baseline cumulative score 3240 average 80 defined good adherence clinical events deathtransplantationventricular assist device resource utilization functional capacity 6minute walk distance health status kansas city cardiomyopathy questionnaire kccq compared among patients without good adherence mean followup 2010 years adherence ranged 263 exercise 899 medications cumulative score indicating good adherence reported 357 whereas good adherence every behavior reported 91 patients good adherence associated fewer hospitalizations allcause 878 vs 1076 p 018 hf 296 vs 438 p 007 hospitalized days allcause 422 vs 465 p 015 hf 228 vs 282 p lt001 per 100personyears better health status kccq overall score 701246 vs 638228 p 011 adherence associated clinical events functional capacity patientreported adherence hf selfcare recommendations alarmingly low selective good adherence associated lower resource utilization better health status