Effects of structured heart failure disease ... - Wiley Online Library

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Aug 20, 2014 - Germany; 3Comprehensive Heart Failure Center Würzburg, Würzburg, Germany; 4University .... but also allowed individualized coaching and empowerment. ...... depression in HF patients are high, we would take this as a call.
European Journal of Heart Failure (2014) 16, 1133–1141 doi:10.1002/ejhf.150

Effects of structured heart failure disease management on mortality and morbidity depend on patients’ mood: results from the Interdisciplinary Network for Heart Failure Study Götz Gelbrich1,2, Stefan Störk3,4, Sonja Kreißl-Kemmer3, Hermann Faller5, Christiane Prettin6, Peter U. Heuschmann1,3, Georg Ertl3,4, and Christiane E. Angermann3,4* 1 University

of Würzburg, Institute of Clinical Epidemiology and Biometry, Würzburg, Germany; 2 Clinical Trial Center Würzburg, University Hospital Würzburg, Würzburg, Germany; 3 Comprehensive Heart Failure Center Würzburg, Würzburg, Germany; 4 University Hospital Würzburg, Department of Internal Medicine I, Würzburg, Germany; 5 University of Würzburg, Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, Würzburg, Germany; and 6 University of Leipzig, Clinical Trial Center, Leipzig, Germany Received 5 May 2014; revised 1 July 2014; accepted 11 July 2014 ; online publish-ahead-of-print 20 August 2014

Aims

Depression is common in heart failure (HF) and associated with adverse outcomes. Randomized comparisons of the effectiveness of HF care strategies by patients’ mood are scarce. We therefore investigated in a randomized trial a structured collaborative disease management programme (HeartNetCare-HF™; HNC) recording mortality, morbidity, and symptoms in patients enrolled after hospitalization for decompensated systolic HF according to their responses to the 9-item Patient Health Questionnaire (PHQ-9) during an observation period of 180 days. ..................................................................................................................................................................... Methods Subjects scoring