© 2007 European Society of Cardiology
Recall of lifestyle advice in patients recently hospitalised with heart failure: A EuroHeart Failure Survey analysis
aka,*
a Department of Internal Medicine, General Hospital Murska Sobota Murska Sobota, Slovenia
b Department of Cardiology, University of Hull Kingston upon Hull, UK
c Department of Cardiology, Erasmus Medical Center, Thoraxcenter Rotterdam, The Netherlands
d Department of Vascular diseases, University Medical Centre Ljubljana, Slovenia
e University Hospital Zürich Zürich, Switzerland
f Department of Cardiology, Hôpital Pitié Salpétrière Paris, France
g Department of Medicine, Sahlgrenska University HospitalÖstra Göteborg, Sweden
* Corresponding author. Department of Internal Medicine, General Hospital Murska Sobota, Dr. Vrbnjaka 6, SI-9000 Murska Sobota, Slovenia. Tel.: +386 31379533; fax: +386 25221007. E-mail address: mitja.lainscak{at}guest.arnes.si
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Abstract |
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Background: There are limited data on recall and implementation of lifestyle advice in patients with heart failure (HF).
Aim: To investigate what advice patients with HF recall being given, and whether they report following the advice they remember.
Methods and results: 3261 patients with suspected HF participating in the EuroHeart Failure Survey were interviewed by a health professional 12weeks after hospital discharge. Patients recalled receiving 46% of pre-specified items of advice and 67% reported that they followed these completely. Both recall (53%) and implementation (71%) was best in patients with left ventricular systolic dysfunction (LVSD). In multivariate analysis, younger age, male sex, patient awareness of the condition and patients reporting that they received a clear explanation of the diagnosis by a health professional, all factors associated with having LVSD, were the strongest predictors of recall.
Conclusions: Recall of and adherence to advice by patients with HF in this large European cross-sectional survey was disappointing. Responsibility for patient education lies with health professionals who should ensure that patients receive and understand advice, and are able to recall and follow it. A greater awareness of the issues surrounding lifestyle advice and more evidence supporting its value could improve patient care.
Key Words: EuroHeart Failure Survey • Heart failure • Lifestyle advice • Management • Non-pharmacological measures
Received December 28, 2006; Revised June 3, 2007; Accepted August 15, 2007
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