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dc.contributor.authorChan, Yih-Kai
dc.contributor.authorStewart, Simon
dc.contributor.authorCalderone, Alicia
dc.contributor.authorScuffham, Paul
dc.contributor.authorGoldstein, Stan
dc.contributor.authorCarrington, Melinda J
dc.date.accessioned2017-05-03T14:48:18Z
dc.date.available2017-05-03T14:48:18Z
dc.date.issued2012
dc.date.modified2014-08-28T05:08:20Z
dc.identifier.issn0167-5273
dc.identifier.doi10.1016/j.ijcard.2010.08.071
dc.identifier.urihttp://hdl.handle.net/10072/35597
dc.description.abstractBackground Disease management programs have been shown to improve health outcomes in high risk individuals in many but not all health care systems. Methods Young @ Heart is a multi-centre, randomised controlled study of a nurse-led, home-based intervention (HBI) program vs. usual care (UC) in privately insured patients in Australia aged = 45 years following an acute cardiac admission. Intensity of HBI is tailored to an individual's clinical stability, management and risk profile. The primary endpoint is the rate of all-cause stay during a mean of 2.5 years follow-up. Results A target of 602 adults (72% men) were randomised to HBI (n = 306) or UC (n = 296); their initial profiles being well matched. At baseline, 71% were overweight (body mass index 29.7 ᠳ.9 kg/m2) and 66% had an elevated blood pressure (153 ᠱ8/89 ᠷ mm Hg). Over half had a history of smoking and 39% had a sub-optimal total cholesterol level > 4 mmol/L. Overall, 62% (376 cases) were treated for coronary artery disease (27% with multi-vessel disease and 39% underwent cardiac revascularisation). A further 20% (120 cases) were treated for a cardiac arrhythmia (predominantly atrial fibrillation) and 19% type 2 diabetes mellitus. At 7-14 days post-discharge, 293 (96%) HBI patients received a home visit triggering urgent clinical review and/or enhanced clinical management in many patients. Conclusions The Young @ Heart intervention is a well accepted and potentially effective intervention to reduce recurrent hospital stay in privately insured cardiac patients in Australia.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeIreland
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom52
dc.relation.ispartofpageto58
dc.relation.ispartofissue1
dc.relation.ispartofjournalInternational Journal of Cardiology
dc.relation.ispartofvolume154
dc.rights.retentionY
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchCardiovascular medicine and haematology not elsewhere classified
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode320199
dc.titleExploring the potential to remain “Young @ Heart”: Initial findings of a multi-centre, randomised study of nurse-led, home-based intervention in a hybrid health care system
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2012
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.


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