Abstract
Background Hospitalizations in patients with heart failure (HF) remain high despite advances in treatment. While implantable pulmonary artery pressure monitors (Abbott CardioMEMS) reduce readmissions in largely white and male cohorts, their efficacy in poor, minority populations are not known. We hypothesized that a nurse-driven program using the CardioMEMS device could reduce HF hospitalizations in such patients. Methods 22 high-utilizing patients (86% non-white, 55% female) with NYHA Class III HF were implanted with a CardioMEMS following a hospital admission for HF. Data from the CardioMEMS guided a speciallytrained nurse in adjusting medications. Enrolled patients were matched using 30 clinical and demographic variables with contemporaneous control HF patients who received usual care. Each patient's hospitalizations were recorded for 6 months and compared using Fisher's exact test. Results Patients who received a CardioMEMS experienced a 61% decrease in HF-related readmission and a 70% reduction in HF-related ED visits (p Conclusion A nurse-driven CardioMEMS program reduces HF-related hospitalization and ED visits among high-risk, low-socioeconomic, urban patients.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.