Association Between Video-Based Telemedicine Visits and Medication Adherence Among Patients With Heart Failure: Retrospective Cross-Sectional Study DOI Creative Commons
Yaguang Zheng, Samrachana Adhikari, Xiyue Li

и другие.

JMIR Cardio, Год журнала: 2024, Номер 8, С. e56763 - e56763

Опубликована: Дек. 5, 2024

Abstract Background Despite the exponential growth in telemedicine visits clinical practice due to COVID-19 pandemic, it remains unknown if achieved similar adherence prescribed medications as in-person office for patients with heart failure. Objective Our study examined association between (vs visits) and medication Methods This was a retrospective cross-sectional of adult diagnosis failure or an ejection fraction ≤40% using data April 1 October 1, 2020. period used because New York University approved both established new by The time zero window 2020, then each identified patient monitored up 180 days. Medication measured mean proportion days covered (PDC) within days, categorized adherent PDC ≥0.8. Patients were included exposure group all encounters video visits, respectively. Poisson regression logistic models analyses. Results A total 9521 individuals this analysis (telemedicine only: n=830 n=8691). Overall, age 76.7 (SD 12.4) years. Most White (n=6996, 73.5%), followed Black (n=1060, 11.1%) Asian (n=290, 3%). Over half male (n=5383, 56.5%) over married living partners (n=4914, 51.6%). patients’ health insurance Medicare (n=7163, 75.2%), commercial (n=1687, 17.7%) Medicaid (n=639, 6.7%). average 0.81 0.286) 71.3% (6793/9521) had PDC≥0.8. There no significant difference groups (mean 0.794, SD 0.294 vs 0.812, 0.285) rate ratio 0.99 (95% CI 0.96-1.02; P =.09). Similarly, there rates (573/830, 69% 6220/8691, 71.6%), odds 0.94 0.81-1.11; =.12). conclusion remained same after adjusting covariates (eg, age, sex, race, marriage, language, insurance). Conclusions We found among who being seen via visits. findings are important we provide real-world evidence that can be approach outpatient As is more convenient avoids transportation issues, may alternative way maintain

Язык: Английский

Global burden of heart failure and its underlying causes in 204 countries and territories, 1990–2021 DOI
Qin‐Fen Chen, Lifen Chen, Christos S. Katsouras

и другие.

European Heart Journal - Quality of Care and Clinical Outcomes, Год журнала: 2025, Номер unknown

Опубликована: Янв. 7, 2025

Abstract Background and aims Heart failure (HF) presents a significant global health challenge due to its rising prevalence impact on disability. This study comprehensively analyse the burden of HF underlying causes. Methods results Using data from Global Burden Disease Study 2021, we analysed years lived with disability (YLD) HF, examining implications across diverse demographics geographic regions. In approximately 55.5 million [95% uncertainty interval (UI) 49.0–63.8] people worldwide were affected by increase 25.4 (95% UI 22.3–29.2) in 1990. The age-standardized rate per 100 000 was 676.7 598.7–776.8) overall, males experiencing higher at 760.8 673.2–874.7) compared females 604.0 535.0–692.3). YLD rates increased 5.5% confidence (CI) 2.7–8.5] 5.9% CI 2.9–9.0) during this period. Ischaemic heart disease emerged as primary cause an 228.3 118.2–279.6), followed hypertensive 148.3 117.3–186.3), cardiomyopathy/myocarditis 62.0 51.2–73.2). Noteworthy, countries high socio-demographic index (SDI) quintile exhibited but maintained stable trends. contrast, lower SDI quintiles, while initially rates, showed over same Conclusion emerges growing public globally, influenced distinct socioeconomic gradients.

Язык: Английский

Процитировано

4
Area Socioeconomic Status is Associated with Refusal of Recommended Surgery in Patients with Metastatic Bone and Joint Disease DOI Creative Commons
Kyle Mani, Emily Kleinbart,

Anne Schlumprecht

и другие.

Annals of Surgical Oncology, Год журнала: 2024, Номер 31(8), С. 4882 - 4893

Опубликована: Июнь 11, 2024

Abstract Background This study sought to identify associations between the Yost Index, a geocoded area neighborhood socioeconomic status (nSES) score, and race/ethnicity with patient refusal of recommended surgery for metastatic bone disease. Methods Patients disease were extracted from Surveillance, Epidemiology, End Results database. The Index was using factor analysis categorized into quintiles census tract-level American Community Service (ACS) 5-year estimates seven nSES measures. Multivariable logistic regression models calculated odds ratios (ORs) 95% confidence intervals (CIs), adjusting clinical covariates. A total 138,257 patients included, which 14,943 (10.8%) surgical resection. in lowest quintile had 57% higher refusing treatment than those highest (aOR = 1.57, CI 1.30–1.91, p < 0.001). also 31.2% age-adjusted incidence rate not being compared (186.4 vs. 142.1 per 1 million, Black 34% White 1.34, 1.14–1.58, 0.003). Advanced age, unmarried status, aggressive cancer subtypes associated ( Conclusions are independent predictors bone, even after various Effective strategies addressing these inequalities improving access quality care lower minority backgrounds needed.

Язык: Английский

Процитировано

4
Number of Readmissions and Its Determinants Among Patients With Heart Failure at Referral Hospitals in Amhara Region, Northwest Ethiopia: A Cross‐Sectional Study Using Zero‐Inflated Negative Binomial Model, 2023 DOI Creative Commons
Mihretie Gedfew,

Bekele Tesfaye,

Haile Amha

и другие.

Health Science Reports, Год журнала: 2025, Номер 8(2)

Опубликована: Янв. 31, 2025

Heart failure is a leading cause of hospital readmissions in the Amhara region, Northwest Ethiopia. This study aimed to determine number and identify determinants among patients with heart at referral hospitals Ethiopia, 2023. A cross-sectional was conducted 663 region from September 2022 February Simple random sampling used for patient selection, data were collected through chart reviews interviewer-administered questionnaires. Zero-inflated negative binomial models applied analysis. Data collection tools pre-tested reliability validity. Among patients, 237 (35.7%) readmitted least once. An increased respiratory rate (IRR = 1.015; 95% CI: 1.0004, 1.031; p < 0.044) longer medication duration 1.011; 1.016, 1.051; 0.0001) associated more readmissions. Patients poor social support had 59.4% fewer compared those good -1.595; -0.02, -0.005; 0.041). higher body mass index 0.115; 0.035, 0.196; 0.004) linked likelihood remaining "always-zero" group, while an pulse reduced odds -0.013; -0.025, -0.008; 0.036). The mortality 11.39%. found significant readmission rates HF patients. Factors such as readmissions, this likely reflects limited healthcare access low- middle-income countries individuals lower support. high underscores need targeted interventions improve outcomes.

Язык: Английский

Процитировано

0
Association Between Mediterranean Diet and Other Healthy Habits and Sociodemographic Variables with the Values of Vascular and Heart Age in Spanish Workers DOI Open Access
Natalia Montero Muñoz, Pedro Juan Tárraga López, Ángel Arturo López‐González

и другие.

Nutrients, Год журнала: 2025, Номер 17(5), С. 903 - 903

Опубликована: Март 5, 2025

Introduction: The assessment of cardiovascular risk has traditionally relied on validated scales designed to estimate the likelihood experiencing a event within specific timeframe. In recent years, novel methodologies have emerged, offering more objective evaluation this through indicators such as vascular age (VA) and heart (HA). Objective: This study aimed investigate relationship between sociodemographic factors, lifestyle behaviors, their impact VA HA. Materials Methods: A dual design, encompassing both cross-sectional longitudinal retrospective approaches, was conducted among cohort employees. variables assessed included characteristics (age, sex, socioeconomic status) health-related habits (smoking, physical activity, adherence Mediterranean diet, alcohol consumption). Results: findings revealed that all analyzed were significantly associated with elevated HA values. Among these, demonstrated strongest association, odds ratios (OR) 114.91 (95% CI: 100.45-131.43) for high 34.48 31.41-37.56) VA. Conclusions: profile individuals most at encompasses males advanced age, characterized by low status, sedentary lifestyle, poor regular consumption.

Язык: Английский

Процитировано

0
The application of neighborhood area deprivation index to improve health equity across the spectrum of heart failure: a review DOI
Tracy Makuvire, José López, Zara Latif

и другие.

Heart Failure Reviews, Год журнала: 2025, Номер unknown

Опубликована: Март 29, 2025

Язык: Английский

Процитировано

0
Association of individual and community-level socioeconomic status and education with medication use: a multilevel analysis in the PERSIAN cohort DOI Creative Commons

Mohammadreza Akbari,

Hossein Poustchi, Erfan Taherifard

и другие.

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Май 19, 2025

Язык: Английский

Процитировано

0
Failure to Launch DOI
Paula Rambarat, Adam D. DeVore, Ankeet S. Bhatt

и другие.

JACC Heart Failure, Год журнала: 2025, Номер 13(6), С. 887 - 900

Опубликована: Июнь 1, 2025

Язык: Английский

Процитировано

0
The March Toward Improved Heart Failure Outcomes Requires an Emphasis on Affordability DOI

Julia H.A. Foote,

Dhruv S. Kazi

JACC Heart Failure, Год журнала: 2024, Номер 12(7), С. 1238 - 1241

Опубликована: Июнь 12, 2024

Язык: Английский

Процитировано

2
Self-care challenges of patients with heart failure from the perspectives of patients and caregivers: A qualitative study DOI
Qiuping Wu,

Haoyu Pei,

Limin Zhang

и другие.

Geriatric Nursing, Год журнала: 2024, Номер 58, С. 446 - 458

Опубликована: Июнь 22, 2024

Язык: Английский

Процитировано

1
The association between county-level premature cardiovascular mortality related to cardio-kidney-metabolic disease and the social determinants of health in the US. DOI Creative Commons

Antoinette Cotton,

Pedro Rafael Vieira de Oliveira Salerno, Salil V. Deo

и другие.

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Окт. 23, 2024

Cardio-kidney-metabolic (CKM) syndrome is defined by the American Heart Association as intersection between metabolic, renal and cardiovascular disease. Understanding contemporary estimates of CKM related mortality recent trends in US essential for developing targeted public interventions. We collected state-level county-level CKM-associated age-adjusted premature (aaCVM) (2010-2019) rates from CDC Wide-ranging Online Data Epidemiologic Research (WONDER). linked aaCVM with a multi-component social deprivation metric: Social Deprivation Index (SDI: range 0-100) grouped them follows: I: 0-25, II: 26-50, III: 51-75, IV: 76-100. conducted pair-wise comparison SDI groups multiplicity adjusted Wilcoxon test; we compared men versus women, metropolitan nonmetropolitan counties, non-hispanic white black residents. In 3101 analyzed counties US, median associated was 61 [interquartile (IQR): 45, 82]/100 000. Mississippi (99/100 000) Minnesota (33/100 had highest lowest values respectively. aaMR increased across [I - 45 (IQR: 36, 55)/100 000, II- 49, 77)/100 III- 77 61, 94)/100 IV- 89 70, 110)/100 000; all p-values < 0.001]. Men higher [85 (64, 91)/100 000] than women [41 (28, 58)/100 000](p-value 0.001), [54 (40, 72)/100 lower non-metropolitan [66 (49, 90)/100 non-Hispanic Black [110 (86, 137)/100 White residents [59 (44, 78)/100 0.001). remains high disproportionately occurs more socially deprived counties. Our inability to reduce over study period highlights need policy interventions curb ongoing burden.

Язык: Английский

Процитировано

1