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  1. Article ; Online: Diabetes Mellitus in Advanced Heart Failure.

    Dunlay, Shannon M / Killian, Jill M / Mccoy, Rozalina G / Redfield, Margaret M

    Journal of cardiac failure

    2021  Volume 28, Issue 3, Page(s) 503–508

    Abstract: Background: Diabetes mellitus is associated with increased rates of mortality in patients with less severe (stage C) heart failure (HF). The prevalence of diabetes and its complications in advanced (stage D) HF and their contributions to mortality risk ... ...

    Abstract Background: Diabetes mellitus is associated with increased rates of mortality in patients with less severe (stage C) heart failure (HF). The prevalence of diabetes and its complications in advanced (stage D) HF and their contributions to mortality risk are unknown.
    Methods and results: We conducted a retrospective population-based cohort study of all adult residents of Olmsted County, Minnesota, who had advanced HF between 2007 and 2017. Patients with diabetes were identified by using the criteria of the Healthcare Effectiveness Data and Information Set. Diabetes complications were captured by using the Diabetes Complications Severity Index. Of 936 patients with advanced HF, 338 (36.1%) had diabetes. Overall, median survival time after development of advanced HF was 13.1 (3.9-33.1) months; mortality did not vary by diabetes status (aHR 1.06, 95% CI 0.90-1.25; P = 0.45) or by glycated hemoglobin levels in those with diabetes (aHR 1.01 per 1% increase, 95% CI 0.93-1.10; P = 0.82). However, patients with diabetes and 4 (aHR 1.24, 95% CI 0.92-1.67) or 5-7 (aHR 1.49, 95% CI 1.09-2.03) diabetes complications were at increased risk of mortality compared to those with ≤ 3 complications.
    Conclusions: More than one-third of patients with advanced HF have diabetes. In advanced HF, overall prognosis is poor, but we found no evidence that diabetes is associated with a significantly higher mortality risk.
    MeSH term(s) Adult ; Cohort Studies ; Diabetes Complications/complications ; Diabetes Complications/epidemiology ; Diabetes Mellitus/epidemiology ; Heart Failure/complications ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Humans ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2021-10-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1281194-4
    ISSN 1532-8414 ; 1071-9164
    ISSN (online) 1532-8414
    ISSN 1071-9164
    DOI 10.1016/j.cardfail.2021.09.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4340: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Corrigendum to "Type 2 Diabetes Mellitus and Heart Failure, A Scientific Statement From the American Heart Association and Heart Failure Society of America" Journal of Cardiac Failure Vol. 25 No. 8, pp. 584-619.

    Dunlay, Shannon M / Givertz, Michael M / Aguilar, David / Allen, Larry A / Chan, Michael / Desai, Akshay S / Deswal, Anita / Dickson, Victoria Vaughan / Kosiborod, Mikhail N / Lekavich, Carolyn L / Mccoy, Rozalina G / Mentz, Robert J / Pina, Ileana L

    Journal of cardiac failure

    2019  Volume 25, Issue 10, Page(s) 851

    Language English
    Publishing date 2019-08-20
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1281194-4
    ISSN 1532-8414 ; 1071-9164
    ISSN (online) 1532-8414
    ISSN 1071-9164
    DOI 10.1016/j.cardfail.2019.08.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4340: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Care Transitions Program for High-Risk Frail Older Adults is Most Beneficial for Patients with Cognitive Impairment.

    Thorsteinsdottir, Bjorg / Peterson, Stephanie M / Naessens, James M / Mccoy, Rozalina G / Hanson, Gregory J / Hickson, Latonya J / Chen, Christina Yy / Rahman, Parvez A / Shah, Nilay D / Borkenhagen, Lynn / Chandra, Anupam / Havyer, Rachel / Leppin, Aaron / Takahashi, Paul Y

    Journal of hospital medicine

    2019  Volume 14, Issue 6, Page(s) 329–335

    Abstract: Background: Although posthospitalization care transitions programs (CTP) are highly diverse, their overall program thoroughness is most predictive of their success.: Objective: To identify components of a successful homebased CTP and patient ... ...

    Abstract Background: Although posthospitalization care transitions programs (CTP) are highly diverse, their overall program thoroughness is most predictive of their success.
    Objective: To identify components of a successful homebased CTP and patient characteristics that are most predictive of reduced 30-day readmissions.
    Design: Retrospective cohort.
    Patients: A total of 315 community-dwelling, hospitalized, older adults (≥60 years) at high risk for readmission (Elder Risk Assessment score ≥16), discharged home over the period of January 1, 2011 to June 30, 2013.
    Setting: Midwest primary care practice in an integrated health system.
    Intervention: Enrollment in a CTP during acute hospitalization.
    Measurements: The primary outcome was all-cause readmission within 30 days of the first CTP evaluation. Logistic regression was used to examine independent variables, including patient demographics, comorbidities, number of medications, completion, and timing of program fidelity measures, and prior utilization of healthcare.
    Results: The overall 30-day readmission rate was 17.1%. The intensity of follow-up varied among patients, with 17.1% and 50.8% of the patients requiring one and ≥3 home visits, respectively, within 30 days. More than half (54.6%) required visits beyond 30 days. Compared with patients who were not readmitted, readmitted patients were less likely to exhibit cognitive impairment (29.6% vs 46.0%; P = .03) and were more likely to have high medication use (59.3% vs 44.4%; P = .047), more emergency department (ED; 0.8 vs 0.4; P = .03) and primary care visits (4.0 vs 3.0; P = .018), and longer cumulative time in the hospital (4.6 vs 2.5 days; P = .03) within 180 days of the index hospitalization. Multivariable analysis indicated that only cognitive impairment and previous ED visits were important predictors of readmission.
    Conclusions: No single CTP component reliably predicted reduced readmission risk. Patients with cognitive impairment and polypharmacy derived the most benefit from the program.
    MeSH term(s) Aged, 80 and over ; Cognitive Dysfunction/psychology ; Emergency Service, Hospital/statistics & numerical data ; Female ; Frail Elderly/statistics & numerical data ; Hospitalization ; House Calls/statistics & numerical data ; Humans ; Male ; Midwestern United States ; Patient Readmission/statistics & numerical data ; Patient Transfer ; Polypharmacy ; Retrospective Studies ; Risk Assessment
    Language English
    Publishing date 2019-02-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2233783-0
    ISSN 1553-5606 ; 1553-5592
    ISSN (online) 1553-5606
    ISSN 1553-5592
    DOI 10.12788/jhm.3112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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