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Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.

Publication ,  Journal Article
Stewart, S; Riegel, B; Boyd, C; Ahamed, Y; Thompson, DR; Burrell, LM; Carrington, MJ; Coats, A; Granger, BB; Hides, J; Weintraub, WS; Rich, MW ...
Published in: International journal of cardiology
June 2016

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.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.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.We propose ARISE-HF as a framework for improving typically poor health outcomes in those affected by multimorbidity in HF.

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Published In

International journal of cardiology

DOI

EISSN

1874-1754

ISSN

0167-5273

Publication Date

June 2016

Volume

212

Start / End Page

1 / 10

Related Subject Headings

  • Treatment Outcome
  • Patient Care
  • Kidney Diseases
  • Interdisciplinary Communication
  • Humans
  • Hospitalization
  • Heart Failure
  • Diabetes Mellitus
  • Delivery of Health Care
  • Comorbidity
 

Citation

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Stewart, S., Riegel, B., Boyd, C., Ahamed, Y., Thompson, D. R., Burrell, L. M., … Rich, M. W. (2016). Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement. International Journal of Cardiology, 212, 1–10. https://doi.org/10.1016/j.ijcard.2016.03.001
Stewart, Simon, Barbara Riegel, Cynthia Boyd, Yasmin Ahamed, David R. Thompson, Louise M. Burrell, Melinda J. Carrington, et al. “Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.International Journal of Cardiology 212 (June 2016): 1–10. https://doi.org/10.1016/j.ijcard.2016.03.001.
Stewart S, Riegel B, Boyd C, Ahamed Y, Thompson DR, Burrell LM, et al. Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement. International journal of cardiology. 2016 Jun;212:1–10.
Stewart, Simon, et al. “Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.International Journal of Cardiology, vol. 212, June 2016, pp. 1–10. Epmc, doi:10.1016/j.ijcard.2016.03.001.
Stewart S, Riegel B, Boyd C, Ahamed Y, Thompson DR, Burrell LM, Carrington MJ, Coats A, Granger BB, Hides J, Weintraub WS, Moser DK, Dickson VV, McDermott CJ, Keates AK, Rich MW. Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement. International journal of cardiology. 2016 Jun;212:1–10.
Journal cover image

Published In

International journal of cardiology

DOI

EISSN

1874-1754

ISSN

0167-5273

Publication Date

June 2016

Volume

212

Start / End Page

1 / 10

Related Subject Headings

  • Treatment Outcome
  • Patient Care
  • Kidney Diseases
  • Interdisciplinary Communication
  • Humans
  • Hospitalization
  • Heart Failure
  • Diabetes Mellitus
  • Delivery of Health Care
  • Comorbidity