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Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal Study

Journal of medical Internet research, 2020-01, Vol.22 (1), p.e15445-e15445 [Peer Reviewed Journal]

Ina Thon Thon Aamodt, Edita Lycholip, Jelena Celutkiene, Thomas von Lueder, Dan Atar, Ragnhild Sørum Falk, Ragnhild Hellesø, Tiny Jaarsma, Anna Strömberg, Irene Lie. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 07.01.2020. ;2020. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;info:eu-repo/semantics/openAccess ;Ina Thon Thon Aamodt, Edita Lycholip, Jelena Celutkiene, Thomas von Lueder, Dan Atar, Ragnhild Sørum Falk, Ragnhild Hellesø, Tiny Jaarsma, Anna Strömberg, Irene Lie. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 07.01.2020. 2020 ;ISSN: 1438-8871 ;ISSN: 1439-4456 ;EISSN: 1438-8871 ;DOI: 10.2196/15445 ;PMID: 31909717

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  • Title:
    Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal Study
  • Author: Aamodt, Ina Thon ; Lycholip, Edita ; Celutkiene, Jelena ; von Lueder, Thomas ; Atar, Dan ; Falk, Ragnhild Sørum ; Hellesø, Ragnhild ; Jaarsma, Tiny ; Strömberg, Anna ; Lie, Irene
  • Subjects: Activities of daily living ; Behavior ; Cardiology ; Caregivers ; Cognitive ability ; Comorbidity ; Data collection ; Diaries ; Edema ; Feasibility ; Health care policy ; Heart failure ; Hospitals ; Likert scale ; Measurement ; Medical prognosis ; Original Paper ; Outpatient care facilities ; Patients ; Retention ; Selfcare ; Telemedicine ; Text messaging
  • Is Part Of: Journal of medical Internet research, 2020-01, Vol.22 (1), p.e15445-e15445
  • Description: Self-care is key to the daily management of chronic heart failure (HF). After discharge from hospital, patients may struggle to recognize and respond to worsening HF symptoms. Failure to monitor and respond to HF symptoms may lead to unnecessary hospitalizations. This study aimed to (1) determine the feasibility of lung impedance measurements and a symptom diary to monitor HF symptoms daily at home for 30 days following hospital discharge and (2) determine daily changes in HF symptoms of pulmonary edema, lung impedance measurements, and if self-care behavior improves over time when patients use these self-care monitoring tools. This study used a prospective longitudinal design including patients from cardiology wards in 2 university hospitals-one in Norway and one in Lithuania. Data on HF symptoms and pulmonary edema were collected from 10 participants (mean age 64.5 years; 90% (9/10) male) with severe HF (New York Heart Association classes III and IV) who were discharged home after being hospitalized for an HF condition. HF symptoms were self-reported using the Memorial Symptom Assessment Scale for Heart Failure. Pulmonary edema was measured by participants using a noninvasive lung impedance monitor, the CardioSet Edema Guard Monitor. Informal caregivers aided the participants with the noninvasive measurements. The prevalence and burden of shortness of breath varied from participants experiencing them daily to never, whereas lung impedance measurements varied for individual participants and the group participants, as a whole. Self-care behavior score improved significantly (P=.007) from a median of 56 (IQR range 22-75) at discharge to a median of 81 (IQR range 72-98) 30 days later. Noninvasive measurement of lung impedance daily and the use of a symptom diary were feasible at home for 30 days in HF patients. Self-care behavior significantly improved after 30 days of using a symptom diary and measuring lung impedance at home. Further research is needed to determine if daily self-care monitoring of HF signs and symptoms, combined with daily lung impedance measurements, may reduce hospital readmissions.
  • Publisher: Canada: Gunther Eysenbach MD MPH, Associate Professor
  • Language: English;Norwegian
  • Identifier: ISSN: 1438-8871
    ISSN: 1439-4456
    EISSN: 1438-8871
    DOI: 10.2196/15445
    PMID: 31909717
  • Source: GFMER Free Medical Journals
    NORA Norwegian Open Research Archives
    PubMed Central
    SWEPUB Freely available online
    ProQuest Central
    DOAJ Directory of Open Access Journals
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