Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/33605
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dc.contributor.authorStewart, Simon-
dc.contributor.authorPatel, Sheila K-
dc.contributor.authorLancefield, Terase F-
dc.contributor.authorSampaio Rodrigues, Thalys-
dc.contributor.authorDoumtsis, Nicholas-
dc.contributor.authorJess, Ashleigh-
dc.contributor.authorVaughan-Fowler, Emily-Rose-
dc.contributor.authorChan, Yih-Kai-
dc.contributor.authorRamchand, Jay-
dc.contributor.authorYates, Paul A-
dc.contributor.authorKwong, Jason C-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorBurrell, Louise M-
dc.date2023-
dc.date.accessioned2023-08-30T07:48:10Z-
dc.date.available2023-08-30T07:48:10Z-
dc.date.issued2023-08-25-
dc.identifier.citationEuropean journal of cardiovascular nursing 2024-04-12; 23(3)en_US
dc.identifier.issn1873-1953-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/33605-
dc.description.abstractWe aimed to recruit a representative cohort of women and men with multimorbid chronic heart disease as part of a trial testing an innovative, nurse-coordinated, multi-faceted intervention to lower rehospitalisation and death by addressing areas of vulnerability to external challenges to their health. The prospective, randomised open, blinded end-point RESILIENCE Trial recruited 203 hospital inpatients (mean age 75.7 ± 10.2 years) of whom 51% were women and 94% had combined coronary artery disease, heart failure and/or atrial fibrillation. Levels of concurrent multimorbidity were high (mean Charlson Index of Comorbidity Score 6.3 ± 2.7), and 8.9% had at least mild frailty according to the Rockwood Clinical Frailty Scale. Including the index admission, 19-20% of women and men had a pre-existing pattern of seasonally-linked hospitalisation (seasonality). Detailed phenotyping revealed that 48% of women and 40% of men had ≥3 physiological factors, and 15% of women and 16% of men had ≥3 behavioural factors likely to increase their vulnerability to external provocations to their health. Overall, 61-62% of women and men had ≥4 combined factors indicative of such vulnerability. Additional factors such as reliance on the public health system (63% versus 49%), lower education (30% versus 14%) and living alone (48% versus 29%) were more prevalent in women. We successfully recruited women and men with multimorbid chronic heart disease and bio-behavioural indicators of vulnerability to external provocations to their health. Once completed, the RESILIENCE TRIAL will provide important insights on the impact of addressing such vulnerability (promoting resilience) on subsequent health outcomes.en_US
dc.language.isoeng-
dc.subjectHeart failureen_US
dc.subjectdisease managementen_US
dc.subjectmortalityen_US
dc.subjectseasonsen_US
dc.subjectsecondary preventionen_US
dc.subjectweatheren_US
dc.titleVulnerability to environmental and climatic health provocations among women and men hospitalised with chronic heart disease: Insights from the RESILIENCE TRIAL cohort.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleEuropean Journal of Cardiovascular Nursingen_US
dc.identifier.affiliationInstitute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia.;University of Glasgow, Glasgow, Scotland.en_US
dc.identifier.affiliationMedicine (University of Melbourne)en_US
dc.identifier.affiliationInfectious Diseasesen_US
dc.identifier.affiliationCardiologyen_US
dc.identifier.affiliationDepartment of Microbiology & Immunology, University of Melbourne at the Doherty Institute, Melbourne, Victoria, Australia.;Department of Infectious Diseases, University of Melbourne at the Doherty Institute, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationRespiratory and Sleep Medicineen_US
dc.identifier.affiliationInstitute for Breathing and Sleepen_US
dc.identifier.doi10.1093/eurjcn/zvad076en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-9032-8998en_US
dc.identifier.orcid0000-0002-0626-1899en_US
dc.identifier.orcid0009-0004-4042-3523en_US
dc.identifier.orcid0000-0003-2302-5588en_US
dc.identifier.orcid0000-0002-4330-1757en_US
dc.identifier.orcid0009-0001-7811-7538en_US
dc.identifier.orcid0000-0003-3836-8145en_US
dc.identifier.orcid0000-0001-8591-1986en_US
dc.identifier.orcid0000-0002-6298-7942en_US
dc.identifier.orcid0000-0001-6481-3391en_US
dc.identifier.orcid0000-0003-1863-7539en_US
dc.identifier.pubmedid37625011-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
item.grantfulltextnone-
item.languageiso639-1en-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptCardiology-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptAged Care-
crisitem.author.deptGeriatric Medicine-
crisitem.author.deptInfectious Diseases-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptCardiology-
crisitem.author.deptGeneral Medicine-
crisitem.author.deptMedicine (University of Melbourne)-
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