TY - JOUR
T1 - Patient Awareness of Heart Failure Diagnosis
T2 - A Community Study
AU - Shropshire, Stacie J.
AU - Fabbri, Matteo
AU - Manemann, Sheila M.
AU - Roger, Véronique L.
AU - Killian, Jill M.
AU - Weston, Susan A.
AU - Chamberlain, Alanna M.
N1 - Publisher Copyright:
© 2023 The Authors and Mayo Clinic. Published on behalf of the American Heart Association, Inc., by Wiley.
PY - 2023/11/7
Y1 - 2023/11/7
N2 - BACKGROUND: Heart failure (HF) is a complex disease that contributes to a high number of hospitalizations, deaths, and economic health care costs each year. However, among patients with HF, there is a lack of awareness of their HF diagnosis that has not been fully examined. METHODS AND RESULTS: Residents from 3 counties of southeast Minnesota with a first-ever International Classification of Diseases, Ninth Revision (ICD-9) code 428 or Tenth Revision (ICD-10) code I50 between January 1, 2013 and March 31, 2016 (N=2461) were prospectively surveyed to measure HF self-awareness. A total of 1114 patients returned the survey (response rate, 45%), and 787 had validated HF upon medical record review. Among these 787 patients with HF (mean age, 76 years; 53% men), 37% (n=293) were aware of their HF diagnosis. After adjustment, being a woman (odds ratio [OR], 1.56 [95% CI, 1.10– 2.22]), having HF with reduced ejection fraction (OR, 1.58 [95% CI, 1.13– 2.22]), attending the HF clinic (OR, 4.07 [95% CI, 2.25–7.36]), and having coronary artery disease (OR, 1.65 [95% CI, 1.16– 2.37]) were all associated with increased awareness of an HF diagnosis. Conversely, having diabetes was associated with decreased awareness of an HF diagnosis (adjusted OR, 0.69 [95% CI, 0.50– 0.95]). CONCLUSIONS: Awareness of an HF diagnosis is low in a community population of patients with HF. Strategies to improve patient awareness of their diagnosis should be implemented to improve self-care behaviors and outcomes in patients with HF.
AB - BACKGROUND: Heart failure (HF) is a complex disease that contributes to a high number of hospitalizations, deaths, and economic health care costs each year. However, among patients with HF, there is a lack of awareness of their HF diagnosis that has not been fully examined. METHODS AND RESULTS: Residents from 3 counties of southeast Minnesota with a first-ever International Classification of Diseases, Ninth Revision (ICD-9) code 428 or Tenth Revision (ICD-10) code I50 between January 1, 2013 and March 31, 2016 (N=2461) were prospectively surveyed to measure HF self-awareness. A total of 1114 patients returned the survey (response rate, 45%), and 787 had validated HF upon medical record review. Among these 787 patients with HF (mean age, 76 years; 53% men), 37% (n=293) were aware of their HF diagnosis. After adjustment, being a woman (odds ratio [OR], 1.56 [95% CI, 1.10– 2.22]), having HF with reduced ejection fraction (OR, 1.58 [95% CI, 1.13– 2.22]), attending the HF clinic (OR, 4.07 [95% CI, 2.25–7.36]), and having coronary artery disease (OR, 1.65 [95% CI, 1.16– 2.37]) were all associated with increased awareness of an HF diagnosis. Conversely, having diabetes was associated with decreased awareness of an HF diagnosis (adjusted OR, 0.69 [95% CI, 0.50– 0.95]). CONCLUSIONS: Awareness of an HF diagnosis is low in a community population of patients with HF. Strategies to improve patient awareness of their diagnosis should be implemented to improve self-care behaviors and outcomes in patients with HF.
KW - health literacy
KW - heart failure
KW - knowledge
KW - self-awareness
KW - survey study
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U2 - 10.1161/JAHA.122.029284
DO - 10.1161/JAHA.122.029284
M3 - Article
C2 - 37929749
AN - SCOPUS:85176337612
SN - 2047-9980
VL - 12
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 21
M1 - e029284
ER -