Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16154
Title: Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement
Austin Authors: Stewart, Simon;Riegel, Barbara;Boyd, Cynthia;Ahamed, Yasmin;Thompson, David R;Burrell, Louise M ;Carrington, Melinda J;Coats, Andrew;Granger, Bradi B;Hides, Julie;Weintraub, William S;Moser, Debra K;Dickson, Victoria Vaughan;McDermott, Cressida J;Keates, Ashley K;Rich, Michael W
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Mary MacKillop Institute for Health Research Centre of Research Excellence in Health Service Research to Reduce Inequality in Heart Disease, Australian Catholic University, Melbourne, Victoria, Australia
University of Pennsylvania School of Nursing, Philadelphia, PA, USA
Center on Aging and Health, John Hopkins University, Baltimore, MD, USA
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
Mary MacKillop Institute for Health Research, Centre for the Heart and Mind, Australian Catholic University, Melbourne, Victoria, Australia
Department of Medicine, The University of Melbourne, Austin Health, Heidelberg, Victoria, Melbourne, Australia
Mary MacKillop Institute for Health Research, Centre for Primary Care and Prevention, Australian Catholic University, Melbourne, Victoria, Australia
Monash and Warwick Universities, Monash Warwick Alliance Office, Clayton, Victoria, Australia
Duke University School of Nursing, Durham, NC, USA
Mary MacKillop Institute for Health Research, Centre for Musculoskeletal Research, Australian Catholic University, Woolloongabba, Queensland, Australia
Jefferson University, Christiana Care Health Services, Center for Heart & Vascular Health, Newark, DE, USA
University of Kentucky, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Diseases, College of Nursing, Lexington, KY, USA
New York University, College of Nursing, New York, NY, USA
Washington University School of Medicine, Cardiovascular Division, St. Louis, MO, USA
Issue Date: 1-Jun-2016
metadata.dc.date: 2016-03-10
Publication information: International Journal of Cardiology 2016; 212: 1-10
Abstract: Background: Multimorbidity in heart failure (HF), defined as HF of any aetiology and multiple concurrent conditions that require active management, represents an emerging problem within the ageing HF patient population worldwide. Methods: To inform this position paper, we performed: 1) an initial review of the literature identifying the ten most common conditions, other than hypertension and ischaemic heart disease, complicating the management of HF (anaemia, arrhythmias, cognitive dysfunction, depression, diabetes, musculoskeletal disorders, renal dysfunction, respiratory disease, sleep disorders and thyroid disease) and then 2) a review of the published literature describing the association between HF with each of the ten conditions. From these data we describe a clinical framework, comprising five key steps, to potentially improve historically poor health outcomes in this patient population. Results: We identified five key steps (ARISE-HF) that could potentially improve clinical outcomes if applied in a systematic manner: 1) Acknowledge multimorbidity as a clinical syndrome that is associated with poor health outcomes, 2) Routinely profile (using a standardised protocol — adapted to the local health care system) all patients hospitalised with HF to determine the extent of concurrent multimorbidity, 3) Identify individualised priorities and person-centred goals based on the extent and nature of multimorbidity, 4) Support individualised, home-based, multidisciplinary, case management to supplement standard HF management, and 5) Evaluate health outcomes well beyond acute hospitalisation and encompass all-cause events and a person-centred perspective in affected individuals. Conclusions: We propose ARISE-HF as a framework for improving typically poor health outcomes in those affected by multimorbidity in HF.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16154
DOI: 10.1016/j.ijcard.2016.03.001
ORCID: 0000-0003-1863-7539
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/27015641
Type: Journal Article
Subjects: Heart failure
Multimorbidity
Person-centred perspective
Multidisciplinary management
Appears in Collections:Journal articles

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