Christine Jones|Mark Holmes|Darren A. DeWalt|Brian Erman|Kimberly A. Broucksou|Victoria Hawk|Crystal W. Cené|Jia Rong Wu|Michael Pignone
Is Adherence to Weight Monitoring or Weight-Based Diuretic Self-Adjustment Associated With Fewer Heart Failure-Related Emergency Department Visits or Hospitalizations?
University of North Carolina at Chapel Hill
heart failure hf selfcare interventions improve outcomes less optimal adherence may limit effectiveness evaluated adherence weight monitoring diuretic selfadjustment associated hfrelated emergency department ed visits hospitalizationswe performed casecontrol analysis nested hf selfcare randomized trial participants received hf selfcare training including weight monitoring diuretic selfadjustment record diary defined case time periods hfrelated ed visits hospitalizations 7 preceding days control time periods defined 7day periods free ed visits hospitalizations used logistic regression compare weight monitoring diuretic selfadjustment adherence case control time periods adjusted demographic clinical covariates among 303 participants identified 81 hfrelated ed visits hospitalizations cases 54 patients 1 year followup weight monitoring adherence odds ratio 042 95 confidence interval ci 023076 diuretic selfadjustment adherence 044 95 ci 019098 associated lower adjusted odds hfrelated ed visits hospitalizationsadherence weight monitoring diuretic selfadjustment associated lower odds hfrelated ed visits hospitalizations adherence activities may reduce hfrelated morbidity