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  • Vpliv obravnave v specializirani ambulanti na prognozo in kakovost življenja bolnikov s srčnim popuščanjem : [doktorsko delo]
    Lainščak, Mitja
    Background. Management in heart failure clinic (HFC) improves prognosis, quality of life and pharmacological treatment of heart failure patients. However, the influence of individual management ... components and patients knowledge to the outcome is still not well established. Aim. To evaluate the effect of management in the HFC compared to the usual care (UC) on hospitalisations, survival, quality of life, pharmacological treatment, and patients knowledge. Methods. In our prospective nonrandomised study we followed 50 patients (mean age 67 (12) years, 66% men) from HFC and 65 patients (mean age 71 (12) years, 65% men) from the UC group for at least one year. Hospitalizations, survival, pharmacological treatment, and patients knowledge were compared using Kaplan Meier curves, log-rank test, Cox hazard model, test X2, and Student t-test as appropriate. We validated our Patients knowledge questionnaire (Pearson coefficient, Cronbahh a, Student t-test, and Wilcoxon signed rank test) and compared the result between the groups (Studentt-test). Results. Patients from HFC had better survival (16% vs. 38%, p=0.008) and were less frequently hospitalised due to heart failure than patients form the UC group (34% vs. 55%, p=0.023). Only management in HFC independently predicted better survival (hazard ratio - HR 0.12, 95% CI 0.02-0.54), hospitalizations due to heart failure (HR 0.33, 95% CI 0.12-0.87) or the combined end point (HR 0.19, 95% CI 0.07-0.53). Independent predictors of prognosis among patients from HFC were poor patientćs knowledge (HR 3.92, 95% CI 1.39-11.03) and treatment with more than 50% of beta blockers target daily dose (HR 0.30, 95% CI 0.10-0.95). (Abstract truncated at 2000 characters)
    Vrsta gradiva - disertacija ; neleposlovje za odrasle
    Založništvo in izdelava - V Ljubljani : [M. Lainščak], 2005
    Jezik - slovenski
    COBISS.SI-ID - 2829076

Knjižnica Signatura – lokacija, inventarna št. ... Status izvoda
Narodna in univerzitetna knjižnica, Ljubljana GS II 607936 glavno skladišče prosto - za čitalnico
MF, Centralna medicinska knjižnica, Ljubljana doktorske disertacije
LAINŠČAK Mitja Vpliv
IN: 020050818 		prosto - na dom, čas izposoje: 1 mes.
MF, Centralna medicinska knjižnica, Ljubljana doktorske disertacije
LAINŠČAK Mitja Vpliv
IN: 020050819 		prosto - na dom, čas izposoje: 1 mes.
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