bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychometric Validation of the Spanish Version of the Caregiver Contribution to Self-Care of Heart Failure Index ( CC-SCHFI)
Authors: Juarez-Vela R , Vellone E , Durante A , De Maria M , Di Nitto M , Gea-Caballero V A , Santolalla-Arnedo I , Benavent-Cervera J V , Rubio-Gracia J , Antonio-Oriola R 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
The Caregiver Contribution to Self-Care of Heart Failure Index (CC-SCHFI) is a theoretically driven instrument to measure the extent to which caregivers support Heart Failure ( HF) patients to perform self-care. The CC-SCHFI measures caregivers' contribution to the self-care maintenance and self-care management and caregiver confidence in contributing to heart failure patients, self-care. To date, the CC-SCHFI was never tested in Spanish speaking populations.

Purpose
To translate the CC-SCHFI from English into Spanish and to test its psychometric characteristics.

Method
CC-SCHFI translation and back-translation was performed according to the Beaton el al. Methodology. Data from a cross-sectional study conducted in an outpatient clinic in Spain were used for the analysis. Psychometric analysis was performed with Exploratory factor analysis (EFA) with oblique rotation. Cronbach’s alpha coefficient was used to test CC-SCHFI reliability.

Results
Caregivers had a mean age of 60,5 and the majority was female (85%) Data from 220 caregivers were analyzed. From EFA, using the principal axis factoring method, we extracted two factors in self-care maintenance subscale ("treatment adherence behaviors" and "symptom control and maintenance behaviors" factors) and self-care monitoring subscale ("Illness behaviors" and "Prevention behaviors" factors) and one factor for self-efficacy subscale. The Cronbach’s alpha coefficient was = 0.838)
Influence of diet with low glycemic index on anthropometric parameters in patients with atherosclerotic coronary artery disease
Authors: Payziev D D , Alyavi B A , Uzokov J , Orziev D Z 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Diet with low glycemic index (DLGI) has been demonstrated favorable effect on several biochemical indexes. Purpose of the study was to evaluate the diet with low glycemic index on anthropometric parameters such as on body mass index (BMI), waist circumference (WC) and hip circumference (HC), waist to hip ratio (WHR) in patients with atherosclerotic coronary artery disease (ACAD).

Material and Methods
160 patients with confirmed ACAD, aged 38-76 years old (mean age 58.2±12.0 years; male=48%) entered as three months dietary intervention either with DLGI (n=80) or routine diet (RD, n=80) together with standard therapy from 2016 to 2019. BMI, WC, HC, WHR were checked at baseline and in three months of the intervention. All statistical analysis were performed by STATA software.

Results
DLGI showed favorable effect on BMI (from 29.8±8.12 to 91 kg/m2 in Group 1 vs. from 30.2±9.30 to 28.8±8.7 kg/m2 in Group 2, P&lt;0.05), WC (from 100.6±18.5 cm to 91.6±16.8 cm vs. from 98.9±19.2 cm to 95.6±18.1 cm, p&lt;0.05), HC (from 95.8±20.2 cm to 87.4±18.4 cm vs. from 97.0±19.8 cm to 96.2±19.5 cm) and WHR (from 1.1±0.9 cm to 0.9±0.8 cm vs. from 1.0±0.9 cm to 0.98±0.78 cm) than routine diet. Even though, BMI, WC, HC and WHR decreased in both groups from baseline, there were only statistically significant changes in Group 1 compared to Group 2. When we separately analyzed gender differences men tended to be more likely to be influenced by diet with low glycemic index (P&gt;0.05) than women in terms of WC, HC and WHR however there were not observed significantly changes in BMI by gender.

Conclusion
DLGI showed superiority to reduce BMI, WC, HC and WHR patients with confirmed ACAD. Men had a tendency to be affected by WC, HC and WHR in DLGI intervention. Further studies are required with large amount of patients to clarify.
Pushing to keep going, scared: a qualitative study exploring why transcatheter aortic valve implantation to treat aortic stenosis is a highly acceptable intervention to patients and carers.
Authors: Straiton N , Gallagher R , Gullick J 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Contemporary options to treat severe, symptomatic aortic stenosis (AS) include transcatheter and surgical approaches (TAVI and SAVR). Evidence continues to accumulate for minimally invasive TAVI to be used to treat AS for expanding patient groups, however patients experiences are seldom investigated.

Purpose
The aim of this study was to explore patients and carers perspectives of the acceptability of TAVI as a treatment option for AS, in the context of their values, attitudes, and the burden and effectiveness of intervention, to better guide expectations and management of recovery.

Methods
Older patients (n=18) and their carers (n= 8) were interviewed 4-6 months post TAVI. Data was themed deductively by applying the theoretical framework of acceptability (1) as an analytic lens, followed by inductive analysis to identify any further emergent themes.

Results
The mean age of patient participants was 85 ± 5 years and 33% were women. Patients experiences of severe AS symptoms (e.g., breathlessness and fatigue) resulted in growing emotions of ‘struggling and pushing to keep to going’ in their daily lives, a few thought they were ‘nearly gone’ and expressed feelings of being scared. Debilitating AS symptoms, and a challenge to the values of this older patient group were the major influencing factors informing high prospective acceptability of the TAVI. Patients and their carers perceived the TAVI procedure to be a ‘good operation’ because of a short hospital stay and minimal disruption to their lives. Low burden resulted in high levels of concurrent acceptability of TAVI. Most patients experienced gradual symptom relief and being able to ‘get back to normal’, be independent and reconnect with valued pastimes, leading to high retrospective acceptability of the intervention for both patients and carers.

Conclusion
Patients and carers perceive TAVI to have high prospective, concurrent, and retrospective acceptability as improved symptoms restored mental wellbeing, the procedure was uncomplicated and operative burden was low, and most patients regained functional capacity and a return to their normal lives. The need to assess acceptability of interventions, such as TAVI, from the perspectives of patients and carers is increasingly becoming important in health care, not only better support patients and carers but to inform effective implementation and sustainability of treatment modalities.
Physical activity and technology usage performed by patients with coronary artery disease: a gender approach
Authors: Munoz Gomez E , Moreno-Segura N , Sentandreu-Mano T , Deka P , Klompstra L , Pathak D , Sempere-Rubio N , Orihuela L , Mont J , Cruz M , Westas M , Marques-Sule E 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background
Recent studies show that cardiac telerehabilitation, including exercise and lifestyle modification, is effective in reducing cardiovascular risk factors in patients with coronary artery disease (CAD). Thus, physical activity and technology usage of patients with CAD are important key points in order to create technology-based cardiac rehabilitation programs to improve physical patients´ condition and reduce cardiovascular risk.

Purpose
The aim of this study was to compare the physical activity and the technological usage of women and men with CAD.

Methods
A cross-sectional study in patients with CAD was performed. Sociodemographic data, physical activity (measured with the International Physical Activity Questionnaire, IPAQ) and the technology usage (measured with the Technology use subscale of the Technology Usage Questionnaire) were collected. Descriptive and inferential analyzes were performed to explore the differences between men and women with CAD.

Results
A total of 70 participants were included (84.28% men, mean age=59±8.54 years). Regarding the IPAQ, men significantly reported higher walking time (99.31±95.22 METS vs. 33.28±37.42 METS, p=0.001, respectively) and higher total physical activity (4164.91±4164.91 METS vs. 1390.68±1609.05 METS, p&lt;0.001, respectively) than women. In relation to technology usage, the entire sample used a mobile phone, whilst there were no significant gender differences in the functions/applications used (phone calls, text messages, camera, receive videos/photos, internet searches, apps, instant messages, social media, games) (p=0.068). Although the majority of the participants (85.71%) had regular access to internet, men used their phone more frequently than women (81.10% vs. 37.50%, p=0.005, respectively). Comparison by gender showed no significant differences in the type of device used for internet searches (computer, tablet, mobile phone) (p=0.169), familiarization with technology-based physical activity games (p=0.801), use of heart rate monitors (p=0.193), preference to monitor heart rate when exercising (p=0.664), nor use of other devices to monitor physical activity (pedometer, etc.) (p=0.193).

Conclusion
Based on the results obtained, we conclude that men with CAD were more physical active and used the Internet more often than women, whilst there were no differences by gender in the rest of variables. Assessment of physical activity and technology usage should be implemented in patients with CAD, in order to adapt and improve the design of technology-based telerehabilitation programs
Body Mass Index and its relation to patients with Acute Myocardial Infarction
Authors: Alsalim W , Alqahtani S , Omeish O , Momin H , Ghulam E , Vriz O , Kinsara A 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Objective
Obesity is frequently encountered in patients with acute coronary syndrome, but whether it is the cause of a detrimental effect on Troponin after acute coronary syndrome remains an area of research. We investigated the effects of the body mass index (BMI) in post-myocardial infarction (MI) patients, and see the difference in troponin and other parameters between normal and over-weight patients.

Design
A retrospective cohort study.

Place
Ministry of National Guard health affair, Jeddah, Saudi Arabia

Duration of the study
One year from January 2019-January 2020

Methodology
Data were extracted from the electronic medical files of patients hospitalized due to acute ST-elevation MI to examine the association between BMI and MI. The patients (n=63) were categorized in BMI groups (kg/m2) using the baseline measurements, to assess the independent factors associated with a patient with a high BMI who had a MI.

Results
In total, 61 post-MI patients with a mean age of 56.9 ± 11.2 years were included in the study. The average BMI was 28.5 ± 6.5 kg/m2. Just more than a third (37.4%, n=23) were in the normal BMI category, 19 (31.2%) overweight, and 19 (31.2%) obese/morbid obesity. The left ventricle mass was 93.74 ± 32.69 gram and LVEF 44.02% ± 10.02. There was a significant difference in the mean level of troponin and mean heart rate between the BMI groups (normal vs. overweight groups). A fair correlation between BMI and LV mass was noted. No statistically significant relation could be linked to high body mass with total cholesterol, LDL, or AST/ALT.

Conclusions
In this pilot study, the group with a high BMI had a statistically significant lower troponin level and higher mean heart rate. Such data need to be considered when assessing a patient’s risk. In addition, obese persons with a MI had a higher LV mass
implementing modified same-day discharge protocol
Authors: Abdelmalak M , Ibrahim W , Shawki S , Omar O , Omar O 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Introduction
To accomplish overcapacity and bed lacks same-day discharge post percutaneous coronary intervention (PCI) has appeared as a key to improve resource consumption. Also, to focus on evaluating the length of hospital stay (LOS) post PCI’s patients and how to decrease the LOS or same day discharge .

Aim
A quality improvement project that aimed for implementing new modified Same Day Discharge (SDD) protocol post- Percutaneous Coronary Intervention (PCI) in purpose to decreasing the patient LOS, resources utilization, improving patient satisfactions, manage overcrowded, bed shortages, and bed-flow efficiency.

Methods
After modifying the protocol to fit with the new cardiac care setting.
Orientation for staff nurses about SDD protocol.
Statistical results compared to determine the impact of the new modified SDD protocol regarding the LOS. (Figure B)
Patients who fit the criteria will be discharge on the same day post PCI. (Figure C)

Results & Data Analysis
During Sep. 2020, the total patients were 196 (PCI 64 Patients ) compared to 165 (PCI 26 Patients) on Sep. 2021.
PCI patients who met the SDD criteria and did not discharge were 48% on Sep. 2020 compared to 19% on Sep. 2021.
As showing on the data there is significant impact of the SDD modified protocol, there are 29% increased on the patient discharge.

Recommendation
Continuous using of these criteria.
Link the patient LOS to the data to assess how the SDD Impact and to support the result.

Conclusion
SDD protocol for post PCI patient in carefully selected patients that improve the patient discharge process.
Development of a new scale to explore the experience of living with chronic heart failure: the UNAV-ENF-CHF scale
Authors: Olano-Lizarraga M , Martin-Martin J , Cobo Sanchez J L , Perez Garcia S , Zaragoza-Salcedo A , De La Torre Lomas N , Simon-Ricart Cenizo A , Ara Lucea P , Jimeno San Martin L , Ducay Eguillor M , Saracibar Razquin M 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Integrated in the State R&D&I Plan 2013-2016 of the Spanish Goverment and co-financed by the General Directorate of Evaluation and Promotion of Research and the European Regional Development Fund (ERDF).

Introduction
Chronic heart failure (CHF) is characterized by a progressive deterioration in the patient's health state that significantly impacts their whole life. Most of the scales available for its assessment show that the physical dimension is still given great prominence, even when they aim to address quality of life.

Purpose
This study aimed to design a scale to know the experience of living with CHF.

Methods
Methodologically, the design of the scale followed DeVellis. The development of the items was based on a hermeneutic phenomenological study and a systematic review of the literature conducted by the research team. In addition, feedback was received from a panel of six experts. The scale was administered to a sample of 17 patients with CHF recruited by purposive sampling. A sociodemographic questionnaire was administered previously (see Table 1), and an observational study was conducted during data collection. A cognitive interview followed this. Data were collected in June-September 2020 in three heart failure units in three Spanish regions. In addition to the psychometric study of the scale's feasibility, acceptability, and reliability, a descriptive analysis of sociodemographic variables and a content analysis of the cognitive interview and the observational study were performed.

Results
A 55-item scale divided into six domains was designed. The analysis of the study conducted with patients showed a Cronbach's Alpha of 0.72-0.92 in Domains 1, 3, 4, and 6, with lower scores for Domain 2 (0.65) and 5 (0.23). Most item-total correlations remained within the criterion values (r&gt; 0.20), and the homogeneity index was acceptable for Domains 1, 4, and 6. In the cognitive interview, patients considered the scale relevant, and the majority (82.35%) thought it was complete. The observational study evidenced that the questions were straightforward; two questionable items were removed; two were modified, and the possibility of "does not apply" was added in two of them.

Conclusions
Analysis of the results indicates that a national validation of the scale in a large sample of patients is needed to assess construct validity, and its feasibility, acceptability and reliability.
Hemostasis of the radial artery after coronary angiography: a scoping review
Authors: Teixeira Rodrigues D , Teixeira C , Parola V , Marques P 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: None.

Background/Introduction
Nowadays, most interventional cardiology procedures are made via radial artery. There is significant variability of haemostasis methods, devices, and protocols. All of them try to avoid radial artery occlusion while maintaining patent haemostasis. Summarizing the available evidence about haemostasis of the radial artery after coronary angiography will allow us to challenge our current practice.

Purpose
The focus of this scoping review is to map the literature on haemostasis of the radial artery after coronary angiography. To date, no previous reviews addressing this purpose have been found.

Methods
This review follows the Joanna Briggs Institute methodology for scoping reviews. Two reviewers will independently perform the study selection regarding their eligibility. Data extraction will be accomplished using a researcher's developed tool to address the objectives and reviews questions. Any disagreements arisen between the reviewers will be resolved by discussion or consulting a third reviewer. Data synthesis will be presented in tabular form and a narrative summary that align with the review's objective. Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension to scoping reviews guidelines will be used to report the results. A set of relevant electronic databases and grey literature will be searched.

Results
Twenty-four studies were included, of various types: randomized clinical trials, case-reports, case series, narrative reviews. Three methods were described: compression devices, compression band and haemostatic patch. Sometimes more than one method is used, and there are various protocols that vary according to the institutional practice.

Conclusion
There are multiple radial artery haemostasis methods and protocols currently in use after a coronary angiography with no method overwhelmingly predominant. Few were associated with clearly defined haemostasis protocols, even though these protocols exist, often associated with compression devices. The institutional practice plays a decisive role on the use and modification of these protocols, with no clear evidence to support it. Such variability in protocols might have a detrimental effect in having a standardized one that can be used across various institutions/countries, facilitating broader multicentric studies.
Co-designing an online support program for and with informal carers of people with heart failure
Authors: Allemann H , Andreasson F , Hanson E , Magnusson L , Jaarsma T , Thylen I , Stromberg A 
Published: July 2022

Abstract

Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Swedish research council for health, working life and welfare

Background
Informal care is increasing due to societal challenges such as ageing populations, more non-communicable diseases in combination with lack of health care personnel. Informal carers, namely family members, friends and neighbours, are important actors in the care and support of people with heart failure. To support them in their caring, information and communication technology has shown to be promising. The mentioned challenges have also put pressure on digitalising health care. The COVID 19 pandemic has further highlighted the need to provide and receive support through digital services. There is currently a lack of support interventions for carers of people with heart failure that are directly integrated within the health care system. To develop relevant support carers should be involved in the process.

Purpose
The aim of the study was to describe the co-design process in the development of an online support program for carers of people with heart failure.

Methods
Informal carers, researchers and practitioners were involved in the co-design process. In the first phase an assessment of carers’ needs and preferences was performed based on a literature search, focus group interviews (n=23 carers), individual interviews and user group sessions (n= 7 carers). Phase two continued with the actual development of the support program prototype, based on the results of phase one. This phase included 13 carers and 18 researchers and practitioners. In the final phase, the program was reviewed and refined by carers, practitioners, and researchers. The project group coordinated the co-design process and took part in the development of the support program.

Results
The co-design process resulted in an online support program consisting of 15 modules with the aim to increase carers’ preparedness to care for a person with heart failure. Each module focused on different topics such as "About heart failure" and "To be a carer". The support program was designed and integrated within the Swedish national e-health platform "1177" in a section called "support and treatment". During the co-design process, various challenges arose, which included the choice of platform itself which then influenced the further co-design process. This process involved balancing implementation and sustainability requirements, against carers’ needs and preferences regarding the program itself.

Conclusions
To conduct a co-design process involving carers and other actors means to navigate diverse interests, goals and pay due attention to regulations. It is an explorative process in which researchers need to be flexible. The effects of the program will now be tested via a randomized controlled trial, and the results will also illuminate the co-design process further.