Impact of nurse-led interprofessional work in older patients with heart failure and multimorbidity: A retrospective cohort study

The number of patients with multimorbidity has increased due to the aging of the global population. Although the World Health Organization has indicated that multimorbidity will be a major medical problem in the future, the appropriate interventions for patients with multimorbidity are currently unk...

Full description

Saved in:
Bibliographic Details
Published in:American heart journal plus 2024-02, Vol.38, p.100361-100361, Article 100361
Main Authors: Saizen, Yuichiro, Ikuta, Kasumi, Katsuhisa, Mizuki, Takeshita, Yuko, Moriki, Yuki, Kasamatsu, Misaki, Onishi, Mai, Wada, Kiyoko, Honda, Chiharu, Nishimoto, Kyoko, Nabetani, Yoshiko, Iwasaki, Tomoyuki, Koujiya, Eriko, Yamakawa, Miyae, Takeya, Yasushi
Format: Article
Language:English
Subjects:
Geriatrics
Heart failure
Multimorbidity
Nurse
Patient-centered care
Research Paper
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The number of patients with multimorbidity has increased due to the aging of the global population. Although the World Health Organization has indicated that multimorbidity will be a major medical problem in the future, the appropriate interventions for patients with multimorbidity are currently unknown. This study aimed to investigate whether nurse-led interprofessional work is associated with improved prognosis in heart failure patients with multimorbidity aged ≥65 years who were admitted in an acute care hospital. Patients who were admitted to the cardiovascular medicine ward of an acute care hospital in Osaka, Japan, and underwent nurse-led interprofessional work from April 1, 2017 to March 31, 2020, and from April 1, 2014 to March 31, 2016, were included in this retrospective cohort study. The patients were matched by age, sex, and New York Heart Association classification. The nurse-led interprofessional work was based on a three-step model that incorporates recommendations from international guidelines for multimorbidity. The primary outcome was all-cause mortality. The mean age of the participants was 80 years, and 62 % were men. The nurse-led interprofessional work group showed a significant difference in all-cause mortality compared with the usual care group (hazard ratio, 0.45; 95 % confidence interval [CI], 0.29–0.69; P 
ISSN:2666-6022
2666-6022
DOI:10.1016/j.ahjo.2024.100361