MARC details
000 -LEADER |
fixed length control field |
03636nam a22005417a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
210719s20212021 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1071-9164 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1016/j.cardfail.2021.05.024 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
S1071-9164(21)00217-7 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
34146684 |
245 ## - TITLE STATEMENT |
Title |
Practices of Referring Patients to Advanced Heart Failure Centers. |
251 ## - Source |
Source |
Journal of Cardiac Failure. 27(11):1251-1259, 2021 11. |
252 ## - Abbreviated Source |
Abbreviated source |
J Card Fail. 27(11):1251-1259, 2021 11. |
252 ## - Abbreviated Source |
Former abbreviated source |
J Card Fail. 2021 Jun 16 |
253 ## - Journal Name |
Journal name |
Journal of cardiac failure |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2021 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2021 Jun 16 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
ppublish |
266 ## - Date added to catalog |
Date added to catalog |
2021-07-19 |
268 ## - Previous citation |
-- |
Journal of Cardiac Failure. 2021 Jun 16 |
269 ## - Original dates |
Original fiscal year |
FY2021 |
501 ## - WITH NOTE |
Local holdings |
Available online from MWHC library: 1995 - present |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: AHF therapies improve survival in a growing population of Stage D HF patients. Successful implementation of these therapies is dependent upon timely and appropriate referrals to AHF centers. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: In this multicenter review of AHF referrals, HF cardiologists referred the most patients despite being a relatively small proportion of the overall clinician population. Late referral was prevalent in this high-risk patient population and correlates with worsened outcomes, suggesting a significant need for broad clinician education regarding the benefits, triggers and appropriate timing of referral to AHF centers for optimal patient outcomes. Copyright (c) 2021. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: We performed a retrospective analysis of patients referred to 9 AHF centers for evaluation for AHF therapies. Patient demographics, referring provider characteristics, referral circumstances, and evaluation outcomes were collected. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Majority of referrals (N=515) were male (73.4%), with a majority of those in the advanced disease state: very low LVEF <20% in 51.5%, 59.4% inpatient, and high risk INTERMACS profiles (74.5% profile 1-3). HF cardiologists (49.1%) were the most common originating referral source; least common (4.9%) were electrophysiologists. Common clinical triggers for referral included worsening heart failure (30.0%), inotrope dependence (19.6%), hospitalization (19.4%) and cardiogenic shock (17.8%). Most commonly, AHF therapies were not offered due to patients being too sick (38.0 - 45.1%) or psychosocial reasons (20.3 - 28.6%). Compared to non-HF cardiologists, patients referred by HF cardiologists were offered an AHF therapy more often (66.8% vs 58.4% p=0.0489). Of those not offered any AHF therapy, 28.4% received home inotropic therapy and 14.5% were referred to hospice. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Heart Failure |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Female |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Heart Failure/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Heart Failure/ep [Epidemiology] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Heart Failure/th [Therapy] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Humans |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Male |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Retrospective Studies |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Stroke Volume |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Ventricular Function, Left |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Ahmed, Sara |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Sheikh, Farooq |
790 ## - Authors |
All authors |
Ahmed S, Chien CV, D'Souza B, Forest S, Herr JJ, Hsiao S, IDEAL-HF investigators, Lala A, Nowaczyk J, Pedrotty D, Ravichandran A, Sheikh FH, Srivastava A, Tompkins S, Tong MZ, Xiang F |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1016/j.cardfail.2021.05.024">https://dx.doi.org/10.1016/j.cardfail.2021.05.024</a> |
Public note |
https://dx.doi.org/10.1016/j.cardfail.2021.05.024 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |