Key result
Extended case management is linked to improved compliance, cardiac function, and fewer readmissions versus conventional care.
Why the study?
The study was conducted to explore the effect of an extended intervention model based on case management on treatment compliance and cardiac function in patients with chronic heart failure.
Does an extended intervention model based on case management improve treatment compliance, cardiac function, and readmission rates in patients with chronic heart failure?
Cohort (n=203)
No
Does an extended intervention model based on case management improve treatment compliance, cardiac function, and readmission rates in patients with chronic heart failure?
p-value: p=<0.05
An extended intervention model based on case management improves treatment compliance, cardiac function, and clinical outcomes in patients with chronic heart failure.
May support extended case management for CHF compliance and function; hypothesis-generating, requires prospective RCTs before practice change.
OBJECTIVE: To explore the effect of case management-based extended intervention model on treatment compliance and cardiac function in patients with chronic heart failure. METHODS: This study retrospectively analysed the clinical data of 203 patients with chronic heart failure at Xingtai Third Hospital from January 2019 to January 2022. In accordance with different intervention programs, the patients were divided into a study group (SG, n = 102) and a reference group (RG, n = 101). The SG received the extended intervention model based on case management, and the RG adopted the conventional intervention model. Comparison was conducted on the treatment compliance, cardiac function, activity of daily living scale (ADL) scores and readmission rates in both groups. RESULTS: After intervention, the SG showed higher treatment compliance (p < 0.05), lower heart rate, higher left ventricular ejection fraction, ratio of transmitral peak rapid filling velocity to transmitral peak atrial filling velocity at mitral orifice and six-minute walk distance (p < 0.001) and significantly lower ADL score and readmission rates than the RG (p < 0.05). CONCLUSION: The extended intervention model based on case management positively influences the treatment compliance of patients with chronic heart failure and continuously improves patients' cardiac function, reduces the readmission rate, enhances daily living ability, comprehensively increases clinical efficacy and benefits patients for a long period.
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Ren et al. (2023) conducted a cohort in chronic heart failure (n=203). Extended intervention model based on case management vs. Conventional intervention model was evaluated on Treatment compliance, cardiac function, activity of daily living scale (ADL) scores, and readmission rates (p=<0.05). An extended intervention model based on case management improved treatment compliance (p<0.05), cardiac function (p<0.001), and reduced readmission rates (p<0.05) compared to conventional care.
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