Linda G Park|Kathleen Dracup|Mary A. Whooley|Charles E. McCulloch|Chengshi Jin|Debra K. Moser|Robyn Clark|Michele M. Pelter|Martha J Biddle|Jill Howie?Esquivel
Symptom Diary Use and Improved Survival for Patients With Heart Failure
San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco
background attention symptoms weight gain dyspnea central tenets patient education heart failure hf however known whether diary use improves patient outcomes aims study compare mortality among rural patients hf completed versus complete daily diary weight symptom selfassessment identify predictors diary use methods results secondary analysis 3arm randomized controlled trial hf education selfcare 2 intervention groups versus control given diaries 24 months track daily weight hf symptoms response symptom changes mean age 6613 58 men 67 completed diaries n393 formed 5 groups use low medium high high based first 3 months diary use analyzed time event cardiac mortality allcause mortality hfrelated readmission starting 3 months compared patients diary use high high diary users less likely experience allcause mortality p 002 p 001 respectively selfreported sedentary lifestyle associated less diary use adjusted model odds ratio 066 95 confidence interval 046095 p 003 depression sex significant predictors diary use adjusted model conclusions study 393 rural patients hf found greater diary use associated longer survival findings suggest greater engagement selfcare behaviors associated better hf outcomes clinical trial registration url httpswwwclinicaltrialsgov unique identifier nct00415545