Practices of Referring Patients to Advanced Heart Failure Centers. (Record no. 6600)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/19/2021   34146684 34146684 07/19/2021 07/19/2021 Journal Article

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