当前位置： SCI文献检索 > BMC Cardiovascular Disorders期刊下所有文献 > Effects of care pathways on the in-hospital treatment of heart failure: a systematic review.

Effects of care pathways on the in-hospital treatment of heart failure: a systematic review.

Abstract：

BACKGROUND:Care pathways have become a popular tool to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. We performed a disease specific systematic review to determine how care pathways in the hospital treatment of heart failure affect in-hospital mortality, length of in-hospital stay, readmission rate and hospitalisation cost when compared with standard care. METHODS:Medline, Cinahl, Embase and the Cochrane Central Register of Controlled Trials were searched from 1985 to 2010. Each study was assessed independently by two reviewers. Methodological quality of the included studies was assed using the Jadad methodological approach for randomised controlled trials, controlled clinical trials and the New Castle Ottawa Scale for case-control studies, cohort studies and time interrupted series. RESULTS:Seven studies met the study inclusion criteria and were included in the systematic review with a total sample of 3,690 patients. The combined overall results showed that care pathways have a significant positive effect on mortality and readmission rate. A shorter length of hospital stay was also observed compared with the standard care group. No significant difference was found in the hospitalisation costs. More positive results were observed in controlled trials compared to randomized controlled trials. CONCLUSION:By combining all possible results, it can be concluded that care pathways for treatment of heart failure decrease mortality rates and length of hospital stay, but no statistically significant difference was observed in the readmission rates and hospitalisation costs. However, one should be cautious with overall conclusions: what works for one organization may not work for another because of the subtle differences in processes and bottlenecks.

journal_name

BMC Cardiovasc Disord

journal_title

BMC cardiovascular disorders

authors

Kul S,Barbieri A,Milan E,Montag I,Vanhaecht K,Panella M

doi

10.1186/1471-2261-12-81

subject

Has Abstract

pub_date

2012-09-25 00:00:00

pages

81

issn

1471-2261

pii

1471-2261-12-81

journal_volume

12

pub_type

杂志文章,评审

相关文献

BMC Cardiovascular Disorders文献大全
  • Integrative pathway dissection of molecular mechanisms of moxLDL-induced vascular smooth muscle phenotype transformation.

    abstract：BACKGROUND:Atherosclerosis (AT) is a chronic inflammatory disease characterized by the accumulation of inflammatory cells, lipoproteins and fibrous tissue in the walls of arteries. AT is the primary cause of heart attacks and stroke and is the leading cause of death in Western countries. To date, the pathogenesis of AT...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-13-4

    authors： Karagiannis GS,Weile J,Bader GD,Minta J

    更新日期：2013-01-16 00:00:00

  • Dynamic high-sensitivity troponin elevations in atrial fibrillation patients might not be associated with significant coronary artery disease.

    abstract：BACKGROUND:Since the introduction of high-sensitivity troponin assays a greater proportion of atrial fibrillation (AF) patients present with dynamic troponin elevations. We hypothesize that significant coronary artery disease (CAD) causes relative ischemia in the setting of a rapid heart rate resulting in dynamic tropo...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,多中心研究

    doi：10.1186/s12872-017-0601-7

    authors： Thelin J,Melander O

    更新日期：2017-06-27 00:00:00

  • Association of MMP-2 gene haplotypes with thoracic aortic dissection in chinese han population.

    abstract：BACKGROUND:Thoracic aortic dissection (TAD) is the most common life-threatening disorder, and MMP-2 is involved in TAD pathogenesis. Our purpose is to systematically evaluate the association of the MMP-2 gene with TAD risk in Chinese Han population. METHODS:In our case-control study, we recruited 755 unrelated partici...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-016-0188-4

    authors： Liu O,Li J,Xin Y,Qin Y,Li H,Gong M,Liu Y,Wang X,Li J,Zhang H

    更新日期：2016-01-14 00:00:00

  • Cardiovascular disease, risk factors and heart rate variability in the elderly general population: design and objectives of the CARdiovascular disease, Living and Ageing in Halle (CARLA) Study.

    abstract：BACKGROUND:The increasing burden of cardiovascular diseases (CVD) in the ageing population of industrialized nations requires an intensive search for means of reducing this epidemic. In order to improve prevention, detection, therapy and prognosis of cardiovascular diseases on the population level in Eastern Germany, i...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-5-33

    authors： Greiser KH,Kluttig A,Schumann B,Kors JA,Swenne CA,Kuss O,Werdan K,Haerting J

    更新日期：2005-11-11 00:00:00

  • Prevalence of first-degree atrioventricular block and the associated risk factors: a cross-sectional study in rural Northeast China.

    abstract：BACKGROUND:First-degree atrioventricular block (AVB) has traditionally been regarded as a benign condition but recent studies have challenged this conception. Prevalence of 1-2% have been reported in developed countries in Asia. However, no epidemiologic studies have established the prevalence of first-degree AVB in de...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-019-1202-4

    authors： Du Z,Xing L,Lin M,Tian Y,Jing L,Yan H,Zhang B,Liu S,Yu S,Sun Y

    更新日期：2019-10-07 00:00:00

  • Effects of betel nut on cardiovascular risk factors in a rat model.

    abstract：BACKGROUND:Areca nut (commonly known as betel nut) chewing has been shown to be associated with metabolic syndrome and cardiovascular disease (CVD). The mechanism by which betel nut ingestion could lead to development of CVD is not precisely known; however, dyslipidemia, hyperhomocysteinemia, hypertriglyceridemia and i...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-12-94

    authors： Iqbal MP,Mehboobali N,Haider G,Pervez S,Azam I

    更新日期：2012-10-24 00:00:00

  • The onset of acute type A aortic dissection following recovery of type B intramural haematoma: a case report.

    abstract：BACKGROUND:Aortic intramural hematoma is a life-threatening condition reported with increasing frequency. It can be classified into Stanford type A or B depending on whether the ascending or descending aorta are involved, respectively. However, the onset of acute type A aortic dissection following recovery of type B in...

    journal_title：BMC cardiovascular disorders

    pub_type：

    doi：10.1186/s12872-020-01440-1

    authors： Zhang K,Dong SB,Pan XD,Sun LZ

    更新日期：2020-04-06 00:00:00

  • Swallow syncope: a case report and review of literature.

    abstract：BACKGROUND:Swallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clin...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-019-1174-4

    authors： Siew KSW,Tan MP,Hilmi IN,Loch A

    更新日期：2019-08-07 00:00:00

  • The GPIIIA PlA2 polymorphism is associated with an increased risk of cardiovascular adverse events.

    abstract：BACKGROUND:The clinical impact of PlA2 polymorphism has been investigated in several diseases, but the definition of its specific role on thrombotic cardiovascular complications has been challenging. We aimed to explore the effect of PlA2 polymorphism on outcome in patients with atherosclerosis. METHODS:We studied 400...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-10-41

    authors： Galasso G,Santulli G,Piscione F,De Rosa R,Trimarco V,Piccolo R,Cassese S,Iaccarino G,Trimarco B,Chiariello M

    更新日期：2010-09-16 00:00:00

  • Takotsubo cardiomyopathy in a patient with ileus: a case report.

    abstract：BACKGROUND:Takotsubo cardiomyopathy (TCM) is a form of stress-induced cardiomyopathy featured by the dilatation of the apex of the left ventricle during systole. Whereas the pathogenesis of this disorder is not well understood, it usually occurs after an emotional or physical stress such as acute asthma, surgery, chemo...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-017-0700-5

    authors： Guo CC,Chou NS

    更新日期：2017-10-17 00:00:00

  • Isolated metastasis of hepatocellular carcinoma in the right ventricle.

    abstract：BACKGROUND:Hepatocellular carcinoma (HCC) with right ventricle metastasis without inferior vena cava and right atrium involvement is very rare and the prognosis of HCC with RV metastasis is generally poor. The mass in the cardiac chamber may lead to lethal instability of hemodynamics, however, the initial symptom is pr...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,评审

    doi：10.1186/s12872-019-01290-6

    authors： Zhang XT,Li Y,Ren SH,Ren WD,Song G,Xiao YJ,Sun FF,Sun L,Yang XH,Tan XY

    更新日期：2019-12-12 00:00:00

  • Loss of ectonucleotidases from the coronary vascular bed after ischemia-reperfusion in isolated rat heart.

    abstract：BACKGROUND:Ectonucleotidase plays an important role in the regulation of cardiac function by controlling extracellular levels of adenine nucleotides and adenosine. To determine the influence of ischemia-reperfusion injury on ectonucleotidase activity in coronary vascular bed, we compared the metabolic profile of adenin...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-13-53

    authors： Takahashi-Sato K,Murakawa M,Kimura J,Ito MA,Matsuoka I

    更新日期：2013-07-28 00:00:00

  • Revisiting the J shaped curve, exploring the association between cardiovascular risk factors and concurrent depressive symptoms in patients with cardiometabolic disease: Findings from a large cross-sectional study.

    abstract：BACKGROUND:Depression is common in patients with cardiometabolic diseases but little is known about the relationship, if any, between cardiovascular risk factor values and depressive symptoms in patients with these conditions. The objective of this paper is to study the association between cardiovascular risk factors a...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-14-139

    authors： Jani BD,Cavanagh J,Barry SJ,Der G,Sattar N,Mair FS

    更新日期：2014-10-28 00:00:00

  • Are activated B cells involved in the process of myocardial fibrosis after acute myocardial infarction? An in vivo experiment.

    abstract：BACKGROUND:Inflammatory cells infiltrate into the ischemic and hypoxic myocardial tissue after myocardial infarction. B cells gather at the site of myocardial injury and secrete cytokines to regulate immune inflammation and fiber repair processes. METHODS:The animal experiment used ligation of the left anterior descen...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-020-01775-9

    authors： Mo F,Luo Y,Yan Y,Li J,Lai S,Wu W

    更新日期：2021-01-06 00:00:00

  • Association between coronary dominance and acute inferior myocardial infarction: a matched, case-control study.

    abstract：BACKGROUND:Previous studies have found a connection between left coronary artery dominance and worse prognoses in patient with acute coronary syndrome, which remains a predominant cause of morbidity and mortality globally. The aim of this study was to investigate whether coronary dominance is associated with the incide...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-019-1007-5

    authors： Wang L,Li J,Gao Y,Li R,Zhang J,Su D,Wang T,Yang G,Wang X

    更新日期：2019-02-04 00:00:00

  • Evaluation of the autonomic nervous system by analysis of heart rate variability in the preterm infants.

    abstract：BACKGROUND:Premature infants may present with damage to the autonomic nervous system (ANS), which may be related to poorer neurological development. Among the techniques used to evaluate the ANS, heart rate variability (HRV) emerged as a simple, non-invasive, and easy to apply tool. The aim of the present study was to ...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-019-1166-4

    authors： de Souza Filho LFM,de Oliveira JCM,Ribeiro MKA,Moura MC,Fernandes ND,de Sousa RD,Pedrino GR,Rebelo ACS

    更新日期：2019-08-16 00:00:00

  • The prognostic importance of a history of hypertension in patients with symptomatic heart failure is substantially worsened by a short mitral inflow deceleration time.

    abstract：BACKGROUND:Hypertension is a common comorbidity in patients with heart failure and may contribute to development and course of disease, but the importance of a history of hypertension in patients with prevalent heart failure remains uncertain. METHODS:3078 consecutively hospitalized heart failure patients (NYHA classe...

    journal_title：BMC cardiovascular disorders

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1186/1471-2261-12-30

    authors： Andersson C,Gislason GH,Weeke P,Kjaergaard J,Hassager C,Akkan D,Møller JE,Køber L,Torp-Pedersen C,EchoCardiography and Heart Outcome Study (ECHOS) investigators.

    更新日期：2012-04-25 00:00:00

  • The characteristics of two LDL-cholesterol level reduction treatment strategies, "treat-to-target" and "percent reduction": an observational study without intervention.

    abstract：BACKGROUND:The 2014 ACC/AHA guidelines redefined the strategy for LDL-cholesterol (LDL-C) treatment. According to data from evidence-based studies, the basis for earlier therapeutic recommendations for LDL-C target levels (2.6 and 1.8 mmol/L) may be disputed, and only the data for the percent LDL-C reduction are object...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-019-1038-y

    authors： Császár A

    更新日期：2019-03-11 00:00:00

  • Cost-of-illness studies in heart failure: a systematic review 2004-2016.

    abstract：BACKGROUND:Heart failure is a major and growing medical and economic problem worldwide as 1-2% of the healthcare budget are spent for heart failure. The prevalence of heart failure has increased over the past decades and it is expected that there will be further raise due to the higher proportion of elderly in the west...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-018-0815-3

    authors： Lesyuk W,Kriza C,Kolominsky-Rabas P

    更新日期：2018-05-02 00:00:00

  • Protective effects of rolipram on endotoxic cardiac dysfunction via inhibition of the inflammatory response in cardiac fibroblasts.

    abstract：BACKGROUND:Cardiac fibroblasts, regarded as the immunomodulatory hub of the heart, have been thought to play an important role during sepsis-induced cardiomyopathy (SIC). However, the detailed molecular mechanism and targeted therapies for SIC are still lacking. Therefore, we sought to investigate the likely protective...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-020-01529-7

    authors： Ji J,Liu Z,Hong X,Liu Z,Gao J,Liu J

    更新日期：2020-05-24 00:00:00

  • Atherosclerosis profile and incidence of cardiovascular events: a population-based survey.

    abstract：BACKGROUND:Atherosclerosis is a chronic progressive disease often presenting as clinical cardiovascular disease (CVD) events. This study evaluated the characteristics of individuals with a diagnosis of atherosclerosis and estimated the incidence of CVD events to assist in the early identification of high-risk individua...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-9-46

    authors： Robinson JG,Fox KM,Bullano MF,Grandy S,SHIELD Study Group.

    更新日期：2009-09-15 00:00:00

  • Decreasing incidence of ruptured abdominal aortic aneurysm already before start of screening.

    abstract：BACKGROUND:The aim of this study was to evaluate whether screening for abdominal aortic aneurysm (AAA) has led to a decrease in ruptured AAA (rAAA) incidence. METHOD:The Malmö population was evaluated regarding the incidence of rAAA and elective AAA surgery 4 years before and after start of AAA-screening in 2010. Data...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-016-0215-5

    authors： Otterhag SN,Gottsäter A,Lindblad B,Acosta S

    更新日期：2016-02-17 00:00:00

  • Life's simple 7 and cardiovascular disease risk knowledge in Hong Kong.

    abstract：BACKGROUND:This study aimed at investigating the CV health and CV disease knowledge in terms of LS7 score among 3 age groups in Hong Kong. METHODS:A cross-sectional multicenter observational study was conducted to observe the CV health and disease risk knowledge in Hong Kong. Elderly subjects were recruited from 15 el...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,多中心研究

    doi：10.1186/s12872-019-1171-7

    authors： Lee VWY,Fong FYH,Cheng FWT,Yan BPY

    更新日期：2019-08-02 00:00:00

  • Sidestream cigarette smoke effects on cardiovascular responses in conscious rats: involvement of oxidative stress in the fourth cerebral ventricle.

    abstract：BACKGROUND:Cigarette exposure increases brain oxidative stress. The literature showed that increased brain oxidative stress affects cardiovascular regulation. However, no previous study investigated the involvement of brain oxidative stress in animals exposed to cigarette and its relationship with cardiovascular regula...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/1471-2261-12-22

    authors： Valenti VE,de Abreu LC,Sato MA,Ferreira C,Adami F,Fonseca FL,Xavier V,Godoy M,Monteiro CB,Vanderlei LC,Saldiva PH

    更新日期：2012-03-30 00:00:00

  • Effects of Tolvaptan in patients with acute heart failure: a systematic review and meta-analysis.

    abstract：BACKGROUND:Acute heart failure, which requires urgent evaluation and treatment, is a leading cause for admission to the emergency department. The aim of this meta-analysis was to evaluate the effects of tolvaptan on acute heart failure and compare them with the effects of conventional therapy or placebo. METHODS:The e...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,meta分析,评审

    doi：10.1186/s12872-017-0598-y

    authors： Wang C,Xiong B,Cai L

    更新日期：2017-06-20 00:00:00

  • Atrophic inferior vena cava is a marker of chronicity of intra-filter and inferior vena cava thrombosis: based on CT findings.

    abstract：BACKGROUND:A permanently indwelling filter in the inferior vena cava (IVC) may induce caval thrombosis, which could develop and evolve from an acute to a chronic phase. The differential diagnosis of acute and chronic thromboses determines the treatment strategy. The role of computed tomography (CT) in diagnosing acute ...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-018-0799-z

    authors： Chen L,Shi W,Gu J,He X,Lou W

    更新日期：2018-04-11 00:00:00

  • Comparing the adverse clinical outcomes in patients with non-insulin treated type 2 diabetes mellitus and patients without type 2 diabetes mellitus following percutaneous coronary intervention: a systematic review and meta-analysis.

    abstract：BACKGROUND:Several studies showed Type 2 Diabetes Mellitus (T2DM) to be associated with worse adverse clinical outcomes compared to non-T2DM (NDM) following Percutaneous Coronary Intervention (PCI). In addition, patients with insulin-treated T2DM (ITDM) showed worse clinical outcomes compared to patients with non-insul...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,meta分析,评审

    doi：10.1186/s12872-016-0422-0

    authors： Li N,Yang YG,Chen MH

    更新日期：2016-11-25 00:00:00

  • Body weight in midlife and long-term risk of developing heart failure-a 35-year follow-up of the primary prevention study in Gothenburg, Sweden.

    abstract：BACKGROUND:This study aimed to determine whether midlife obesity predicts heart failure (HF) over an extended follow-up into old age. METHODS:We studied 7495 men (from a population sample of 9,998 men) without HF, who were 47-55 years old when investigated in 1970 to 1973. All participants were followed up for 35 year...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-015-0008-2

    authors： Björck L,Novak M,Schaufelberger M,Giang KW,Rosengren A

    更新日期：2015-03-10 00:00:00

  • Factors associated with parasympathetic activation following exercise in patients with rheumatoid arthritis: a cross-sectional study.

    abstract：BACKGROUND:Patients with rheumatoid arthritis (RA) have an increased risk for cardiovascular disease (CVD) with poor parasympathetic function being implicated as an underlying factor. Factors related to parasympathetic function, commonly assessed by heart rate recovery (HRR) following maximal exercise, are currently no...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章

    doi：10.1186/s12872-016-0264-9

    authors： Osailan A,Metsios GS,Rouse PC,Ntoumanis N,Duda JL,Kitas GD,Veldhuijzen van Zanten JJ

    更新日期：2016-05-10 00:00:00

  • Implementation of a new guideline in cardiovascular secondary preventive care: subanalysis of a randomized controlled trial.

    abstract：BACKGROUND:Cardiovascular secondary preventive recommendations are often not reached. We investigated whether a nurse-led telephone-based follow-up could improve the implementation of a new guideline within a year after its release. METHODS:In February 2013, a new secondary preventive guideline for diabetic patients w...

    journal_title：BMC cardiovascular disorders

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/s12872-016-0252-0

    authors： Jakobsson S,Huber D,Björklund F,Mooe T

    更新日期：2016-04-30 00:00:00