A personalized IVC ultrasound image did not improve 30-day heart failure treatment adherence scores compared to generic information (11.8 vs 11.7, p=0.90).
RCT (n=97)
Does providing a personalized IVC ultrasound image with fluid status explanation improve self-reported treatment adherence in patients hospitalized with acute decompensated heart failure?
Providing a personalized IVC ultrasound image with fluid status explanation did not improve 30-day self-reported treatment adherence or clinical outcomes in patients hospitalized with acute decompensated heart failure.
Absolute Event Rate: 11.8% vs 11.7%
p-value: p=0.90
Personalized tools relevant to an individual patient’s unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status (n = 50) or to receive no image and only generic heart failure information (n = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time). The baseline MOSSAS-3HF scores (mean ± standard deviation (SD)) were similar for intervention and control groups (7.4 ± 3.4 vs. 6.4 ± 3.7, p = 0.91). The MOSSAS-3HF scores improved for both groups but were not different at 30 days (11.8 ± 2.8 vs. 11.7 ± 3.0, p = 0.90). Survival without readmission or emergency department (ED) visit at 30 days was similar (82.6% vs. 84.1%, p = 0.85). A personalized HF tool did not affect rates of self-reported HF treatment adherence or survival without readmission or ED visit.
Athar et al. (Tue,) conducted a rct in acute decompensated heart failure (n=97). Printout of an ultrasound image of their inferior vena cava (IVC) with an explanation vs. No image and only generic heart failure information was evaluated on MOSSAS-3HF score at 30 days (p=0.90). A personalized IVC ultrasound image did not improve 30-day heart failure treatment adherence scores compared to generic information (11.8 vs 11.7, p=0.90).