Atrial fibrillation and heart failure in seven nursing homes

dc.creator	Kjell Kruger
dc.creator	Marie Sandli
dc.creator	Jonn-Terje Geitung
dc.creator	Geir Egil Eide
dc.creator	Anders Grimsmo
dc.date	2012-07-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:06:09Z
dc.date.available	2015-07-20T22:06:09Z
dc.identifier	10.5430/jnep.v2n4p22
dc.identifier	1925-4040
dc.identifier	1925-4059
dc.identifier	https://doaj.org/article/fa7ff72c262d48b68fafa59e1cd60fe6
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/10311
dc.identifier.uri	https://doaj.org/article/fa7ff72c262d48b68fafa59e1cd60fe6
dc.description	<p class="a"><strong>Objectives:</strong></p><p class="a">Previous research suggests that blood-thinning treatment for patients with atrial fibrillation as well as treatment for patients with heart failure is not adequate among the elderly. We tested this among long-term patients in nursing homes.</p> <p class="a"><strong>Methods:</strong> Information about the patients (n = 513) was collected during the period March-April 2008. Data collection consisted of electrocardiography, particulars of any stroke suffered and copying medication records. A standardized set of blood samples was analyzed.</p> <p class="a"><strong>Results:</strong> Of the 91 atrial fibrillation patients, 14.3% were anticoagulated with warfarin. 42.0% of the patients with atrial fibrillation had no form of antithrombotic treatment. Prevalence of atrial fibrillation was 18.8% and high B-type natriuretic peptide (ProBNP > 225 pmol/L) 13.2%. Of the patients with both stroke and atrial fibrillation, 24.3% were given warfarin. Of the 59 patients with ProBNP > 225 pmol/L and adequate renal function (eGFR > 50 ml/min), 22.0% were given ACE/A2B.</p> <strong>Conclusions:</strong> The warfarin treatment rate was lower than recommended for patients with atrial fibrillation in nursing homes, as was probably the use of ACE-inhibitors to heart -failure patients. We found significant differences between the nursing homes with regard to treatment rate. Atrial fibrillation and heart failure case finding and monitoring in nursing homes needs to be improved and simple tools like recording and reporting irregular pulse by doctors and nurses and measure ProBNP on a regular basis may improve this.<em><br /></em>
dc.language	English
dc.publisher	Sciedu Press
dc.relation	http://www.sciedu.ca/journal/index.php/jnep/article/view/680
dc.relation	https://doaj.org/toc/1925-4040
dc.relation	https://doaj.org/toc/1925-4059
dc.source	Journal of Nursing Education and Practice, Vol 2, Iss 4 (2012)
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.subject	Special aspects of education
dc.subject	LC8-6691
dc.subject	Education
dc.subject	L
dc.title	Atrial fibrillation and heart failure in seven nursing homes
dc.type	Article