Evidence map›Paper›PMID 28513209›Full record

ArticleEuropean journal of cardiovascular nursing2017

Caregiver determinants of patient clinical event risk in heart failure.

Julie T Bidwell, Ercole Vellone, Karen S Lyons, Fabio D'Agostino, Barbara Riegel, Marco Paturzo, Shirin O Hiatt, Rosaria Alvaro, Christopher S Lee

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of cardiovascular nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Julie T Bidwell1 Oregon Health & Science University School of Nursing, Portland, OR, USA.
Ercole Vellone2 University of Rome, Tor Vergata, Rome, Italy.
Karen S Lyons1 Oregon Health & Science University School of Nursing, Portland, OR, USA.
Fabio D'Agostino2 University of Rome, Tor Vergata, Rome, Italy.
Barbara Riegel3 University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Marco Paturzo2 University of Rome, Tor Vergata, Rome, Italy.
Shirin O Hiatt1 Oregon Health & Science University School of Nursing, Portland, OR, USA.
Rosaria Alvaro2 University of Rome, Tor Vergata, Rome, Italy.
Christopher S Lee1 Oregon Health & Science University School of Nursing, Portland, OR, USA.
University of Rome Tor Vergata · ITOregon Health & Science University · USEmory University · USUniversity of Pennsylvania · US

Funding

Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Mechanical Circulatory Support in Patient-Caregiver Dyads: A Longitudinal StudyF31NR014760 · NINR · OREGON HEALTH & SCIENCE UNIVERSITY · PI BIDWELL, JULIE THERESA · 2013 to 2016
$110k
NINR NIH HHS F31 NR014760NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundPreventing hospitalization and improving event-free survival are primary goals of heart failure (HF) treatment according to current European Society of Cardiology guidelines; however, substantial uncertainty remains in our ability to predict risk and improve outcomes. Although caregivers often assist patients to manage their HF, little is known about their influence on clinical outcomes.

aimsTo quantify the influence of patient and caregiver characteristics on patient clinical event risk in HF.

methodsThis was a secondary analysis of data using a sample of Italian adults with HF and their informal caregivers ( n = 183 patient-caregiver dyads). HF patients were followed over 12 months for the following clinical events: hospitalization for HF, emergency room visit for HF or all-cause mortality. Influence of baseline caregiver- and patient-level factors (patient and caregiver age; dyad relationship type; patient New York Heart Association (NYHA) Class, cognition, and comorbidities; and caregiver strain, mental health status, and contributions to HF self-care) on patient risk of death or hospitalization/emergency room use was quantified using Cox proportional hazards regression.

resultsOver the course of follow up, 32.8% of patients died, 19.7% were hospitalized for HF and 10.4% visited the emergency room. Higher caregiver strain, better caregiver mental health status and greater caregiver contributions to HF self-care maintenance were associated with significantly better event-free survival. Worse patient functional class and greater caregiver contributions to patient self-care management were associated with significantly worse patient event-free survival.

conclusionConsidering caregiving factors together with patient factors significantly increases our understanding of patient clinical event risk in HF.

Indexed as

AdultAgedAged, 80 and overCaregiversFemaleHeart FailureHospitalizationHumansItalyMaleMiddle AgedRisk AssessmentSelf CarecaregiversHeart failurehospitalizationmortality

Identifiers

PMID28513209
PMCPMC5665710
OpenAlexW2614231443

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.