Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?

Christine D. Jones, George M. Holmes, Darren A. Dewalt, Brian Erman, Kimberly Broucksou, Victoria Hawk, Crystal W. Cene, Jia Rong Wu, Michael Pignone

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Background: Heart failure (HF) self-care interventions can improve outcomes, but less than optimal adherence may limit their effectiveness. We evaluated if adherence to weight monitoring and diuretic self-adjustment was associated with HF-related emergency department (ED) visits or hospitalizations. Methods and Results: We performed a case-control analysis nested in a HF self-care randomized trial. Participants received HF self-care training, including weight monitoring and diuretic self-adjustment, which they were to record in a diary. We defined case time periods as HF-related ED visits or hospitalizations in the 7 preceding days; control time periods were defined as 7-day periods free of ED visits and hospitalizations. We used logistic regression to compare weight monitoring and diuretic self-adjustment adherence in case and control time periods, adjusted for demographic and clinical covariates. Among 303 participants, we identified 81 HF-related ED visits or hospitalizations (cases) in 54 patients over 1 year of follow-up. Weight monitoring adherence (odds ratio [OR] 0.42, 95% confidence interval [CI] 0.23-0.76) and diuretic self-adjustment adherence (OR 0.44, 95% CI 0.19-0.98) were both associated with lower adjusted odds of HF-related ED visits or hospitalizations. Conclusions: Adherence to weight monitoring and diuretic self-adjustment was associated with lower odds of HF-related ED visits or hospitalizations. Adherence to these activities may reduce HF-related morbidity.

Original languageEnglish
Pages (from-to)576-584
Number of pages9
JournalJournal of Cardiac Failure
Volume18
Issue number7
DOIs
StatePublished - Jul 2012

Bibliographical note

Funding Information:
Funding: National Heart, Lung, and Blood Institute grant R01 HL081257 and National Institutes of Health American Recovery and Reinvestment Act grant A10-0586-001 .

Keywords

  • Congestive heart failure
  • compliance

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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