A significant portion of patients admitted to the emergency department (ED) for acute heart failure (AHF) is discharged without hospitalization. Often, the patients are assigned to receive self-care intervention. This study aims to evaluate the effect of 90-day self-care intervention in patients with AHF who were discharged from the ED.
This parallel-group, unblinded, multicenter, randomized controlled trial included a total of 479 patients with AHF discharged after ED-based management. The patients were randomly assigned in a 1:1 ratio to receive usual care vs. a tailored self-care intervention. The primary outcome of the study was a global rank of cardiovascular health, along with HF-related events.
The findings indicated no significant difference between patients in the usual care and intervention group. The hazard ratio of comparison of the primary outcome between the two groups was 0.89. However, after 30 days, patients in the intervention group had a higher global rank of cardiovascular health compared with patients in the usual care group. Patients in the self-care intervention group also had a higher Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) summary score.
The research concluded that self-care intervention resulted in slight improvements in global rank and KCC-12 SS at 30 days when compared with usual care.
Ref: https://jamanetwork.com/journals/jamacardiology/article-abstract/2772982
