Pre-recorded audio messages help improve outcomes for patients with heart failure

November 17, 2020

DALLAS, Nov. 17, 2020 — Patients who are hospitalized with heart failure can reduce their odds of requiring re-hospitalization, a heart transplant or death by repeatedly reviewing recorded audio messages about self-care at home, according to late breaking research presented today at the American Heart Association’s Scientific Sessions 2020. The virtual meeting is Friday, November 13 – Tuesday, November 17, 2020, and is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science for health care worldwide.

“My Recorded On-Demand Audio Discharge Instructions (MyROAD®)” is a re-playable audio card containing information for patients with heart failure who have been discharged from the hospital. The MyROAD audio card begins with a general statement and then has four sections about diet, physical activity, medication and self-monitoring behaviors specific to heart failure to help answer frequently asked questions about the condition and what to expect at home.

“Patients may be tired, confused and worried about being able to follow provider orders and/or without family members at the time they are discharged, so they may lack the ability to carefully hear, understand and ask questions about instructions for self-care at home. Handing out more paperwork may not be the answer. In addition, some patients have health literacy issues, poor eyesight or they do not have access to the internet to get heart failure information. We needed a new way to provide this potentially life-saving information,” says the study’s lead author Nancy M. Albert, Ph.D., C.C.N.S., C.H.F.N., C.C.R.N., N.E.-B.C., FAHA, associate chief nursing officer of the Office of Nursing Research and Innovation at the Cleveland Clinic Health System and a clinical nurse specialist at the Kaufman Center for Heart Failure at the Cleveland Clinic in Cleveland, Ohio.

Researchers performed a randomized controlled trial of about 1,000 patients (average age 72.8 years, 58.7% male) who were hospitalized with heart failure at four sites in Northeast Ohio. Upon discharge, patients either received usual care or the MyROAD audio card with a demonstration on how to operate it plus usual care. Patients were encouraged to keep the card visible and share it with family members. Researchers followed up at 30, 45, 90 and 180-day intervals after hospital discharge. Both patient groups were similar in demographics, medical history and heart failure factors.

Findings of the study indicate: Researchers note that although the readmission rates among the MyROAD® group were lower at 30 and 45 days when compared with the usual care group, it was not a statistically significant difference. However, when they assessed all-cause hospitalization, emergency department visits or death, the odds of an event were reduced by 25% at 30 days and 30% at 45 days. Researchers believe there is an opportunity to improve outcomes by providing patients and family with clear, consistent messages (as was delivered with the audio card).

“It is important for patients who are discharged to home after a hospital stay to understand that by carrying out specific physical activity, diet, medication and self-monitoring behaviors, they may improve their lifespan and be less likely to require a future emergency department visit,” said Albert. “These results may spur innovative methods of enhancing discharge information and early home care. More research is needed to learn how we can optimize care to prevent post-discharge healthcare utilization.”

###

Co-authors are Kathy Ray, B.R.M.P.; James F. Bena, M.S.; Shannon L. Morrison, M.S.; Mary Marino, B.S.N., R.N.; and Celia Painter, B.S.N., R.N. Author disclosures are in the abstract. The researchers reported no external funding for this study.

Presentation: Session: LBS.09 High Tech or High Touch: Creative Strategies to Optimize Patient Care

Additional Resources: Statements and conclusions of studies that are presented at the American Heart Association’s scientific meetings are solely those of the study authors and do not necessarily reflect the Association’s policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. The Association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific Association programs and events. The Association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and biotech companies, device manufacturers and health insurance providers are available here, and the Association’s overall financial information is available here

About the American Heart Association

The American Heart Association is a leading force for a world of longer, healthier lives. With nearly a century of lifesaving work, the Dallas-based association is dedicated to ensuring equitable health for all. We are a trustworthy source empowering people to improve their heart health, brain health and well-being. We collaborate with numerous organizations and millions of volunteers to fund innovative research, advocate for stronger public health policies, and share lifesaving resources and information. Connect with us on heart.org, Facebook, Twitter or by calling 1-800-AHA-USA1.

American Heart Association

Related Heart Failure Articles from Brightsurf:

Top Science Tip Sheet on heart failure, heart muscle cells, heart attack and atrial fibrillation results
Newly discovered pathway may have potential for treating heart failure - New research model helps predict heart muscle cells' impact on heart function after injury - New mass spectrometry approach generates libraries of glycans in human heart tissue - Understanding heart damage after heart attack and treatment may provide clues for prevention - Understanding atrial fibrillation's effects on heart cells may help find treatments - New research may lead to therapy for heart failure caused by ICI cancer medication

Machining the heart: New predictor for helping to beat chronic heart failure
Researchers from Kanazawa University have used machine learning to predict which classes of chronic heart failure patients are most likely to experience heart failure death, and which are most likely to develop an arrhythmic death or sudden cardiac death.

Heart attacks, heart failure, stroke: COVID-19's dangerous cardiovascular complications
A new guide from emergency medicine doctors details the potentially deadly cardiovascular complications COVID-19 can cause.

Autoimmunity-associated heart dilation tied to heart-failure risk in type 1 diabetes
In people with type 1 diabetes without known cardiovascular disease, the presence of autoantibodies against heart muscle proteins was associated with cardiac magnetic resonance (CMR) imaging evidence of increased volume of the left ventricle (the heart's main pumping chamber), increased muscle mass, and reduced pumping function (ejection fraction), features that are associated with higher risk of failure in the general population

Transcendental Meditation prevents abnormal enlargement of the heart, reduces chronic heart failure
A randomized controlled study recently published in the Hypertension issue of Ethnicity & Disease found the Transcendental Meditation (TM) technique helps prevent abnormal enlargement of the heart compared to health education (HE) controls.

Beta blocker use identified as hospitalization risk factor in 'stiff heart' heart failure
A new study links the use of beta-blockers to heart failure hospitalizations among those with the common 'stiff heart' heart failure subtype.

Type 2 diabetes may affect heart structure and increase complications and death among heart failure patients of Asian ethnicity
The combination of heart failure and Type 2 diabetes can lead to structural changes in the heart, poorer quality of life and increased risk of death, according to a multi-country study in Asia.

Preventive drug therapy may increase right-sided heart failure risk in patients who receive heart devices
Patients treated preemptively with drugs to reduce the risk of right-sided heart failure after heart device implantation may experience the opposite effect and develop heart failure and post-operative bleeding more often than patients not receiving the drugs.

How the enzyme lipoxygenase drives heart failure after heart attacks
Heart failure after a heart attack is a global epidemic leading to heart failure pathology.

Novel heart pump shows superior outcomes in advanced heart failure
Severely ill patients with advanced heart failure who received a novel heart pump -- the HeartMate 3 left ventricular assist device (LVAD) -- suffered significantly fewer strokes, pump-related blood clots and bleeding episodes after two years, compared with similar patients who received an older, more established pump, according to research presented at the American College of Cardiology's 68th Annual Scientific Session.

Read More: Heart Failure News and Heart Failure Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.