dc.contributor.author | Chan, Yih-Kai | |
dc.contributor.author | Stewart, Simon | |
dc.contributor.author | Calderone, Alicia | |
dc.contributor.author | Scuffham, Paul | |
dc.contributor.author | Goldstein, Stan | |
dc.contributor.author | Carrington, Melinda J | |
dc.date.accessioned | 2017-05-03T14:48:18Z | |
dc.date.available | 2017-05-03T14:48:18Z | |
dc.date.issued | 2012 | |
dc.date.modified | 2014-08-28T05:08:20Z | |
dc.identifier.issn | 0167-5273 | |
dc.identifier.doi | 10.1016/j.ijcard.2010.08.071 | |
dc.identifier.uri | http://hdl.handle.net/10072/35597 | |
dc.description.abstract | Background 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.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.publisher.place | Ireland | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 52 | |
dc.relation.ispartofpageto | 58 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | International Journal of Cardiology | |
dc.relation.ispartofvolume | 154 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Cardiovascular medicine and haematology | |
dc.subject.fieldofresearch | Cardiovascular medicine and haematology not elsewhere classified | |
dc.subject.fieldofresearchcode | 3201 | |
dc.subject.fieldofresearchcode | 320199 | |
dc.title | Exploring 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.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.date.issued | 2012 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Scuffham, Paul A. | |