{"title":"Development and validation of a nomogram model for predicting the high-risk symptom multi-trajectories in patients with heart failure.","authors":"Qingyun Lv, Yaqi Wang, Xueying Xu, Hairong Chang, Yuan He, Jingwen Liu, Ying Yao, Xiaonan Zhang, Xiaoying Zang","doi":"10.1093/eurjcn/zvaf127","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf127","url":null,"abstract":"<p><strong>Aim: </strong>To identify the high-risk symptom multi-trajectories of patients with heart failure (HF) during the first six months after discharge, and construct a nomogram model to predict them.</p><p><strong>Methods and results: </strong>This study was conducted across four tertiary hospitals from September 2023 to January 2025. Symptom evaluations was conducted before discharge, and at 2 weeks, 1 month, 3 months, and 6 months after discharge. A total of 259 HF patients completed the six-month follow-up. Of these, 18.9% exhibited severe-variable changes in symptom trajectories, which were significantly associated with unplanned readmission, indicating high-risk symptom multi-trajectories. LASSO regression identified four variables: anxiety, depression, resilience, and social support. The resulting nomogram, a visual tool used to predict the probability of high-risk symptom multi-trajectories, achieved an area under the curve of 0.921, a sensitivity of 85.7%, and a specificity of 83.3%. The calibration curve exhibited a high level of consistency. Decision curve analysis revealed that this nomogram had greater clinical value when the risk threshold was between 5% and 79%.</p><p><strong>Conclusion: </strong>18.9% of patients with HF had high-risk symptom multi-trajectories of poor prognosis during the six months after discharge. A nomogram was developed to predict the likelihood of this group. This tool provided valuable guidance for the early intervention of HF symptoms.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ada D M Carmona Segovia, Víctor M Becerra-Muñoz, María Josefa Jiménez Arjona, Virginia Naranjo Velasco, Nuria Ochoa, Joan Albert Barberà, Manuel López-Meseguer, José Miguel Morales Asencio, Isabel Blanco, Pilar Escribano Subías
{"title":"Real-life use of validated quality of life questionnaires in patients with pulmonary arterial hypertension in Spain. A cross-sectional study.","authors":"Ada D M Carmona Segovia, Víctor M Becerra-Muñoz, María Josefa Jiménez Arjona, Virginia Naranjo Velasco, Nuria Ochoa, Joan Albert Barberà, Manuel López-Meseguer, José Miguel Morales Asencio, Isabel Blanco, Pilar Escribano Subías","doi":"10.1093/eurjcn/zvaf108","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf108","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ricardo J Loor-Torres, Maria B Mateo Chavez, Kasey Boehmer, Laura Suarez Pardo, Heidi M Connolly, Alexander C Egbe, Kelli Passalacqua, Angela M Kosec, Luke J Burchill
{"title":"Self-management interventions to improve health outcomes in youth living with congenital heart disease: A Systematic Review and Narrative Synthesis.","authors":"Ricardo J Loor-Torres, Maria B Mateo Chavez, Kasey Boehmer, Laura Suarez Pardo, Heidi M Connolly, Alexander C Egbe, Kelli Passalacqua, Angela M Kosec, Luke J Burchill","doi":"10.1093/eurjcn/zvaf129","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf129","url":null,"abstract":"<p><strong>Aims: </strong>Congenital heart disease (CHD) presents lifelong challenges that require effective self-management skills, particularly for youth transitioning to adulthood. This systematic review evaluates the impact of self-management interventions, grounded in self-efficacy, on both health and patient-reported outcomes in youths with CHD.</p><p><strong>Methods and results: </strong>Adhering to PRISMA guidelines, we conducted a systematic review and registered the protocol in PROSPERO. We included interventional studies targeting youth aged 15-24 years with CHD that employed self-management interventions based on self-efficacy. Comprehensive searches were performed in Ovid MEDLINE, Ovid EMBASE, CINAHL, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus from January 1973 to March 2024, with an update to include studies published until December 2024. Two reviewers independently screened titles, abstracts, and full texts, resolving disagreements by consensus. Data extraction followed TIDieR guidelines, and risk of bias was assessed using the Cochrane ROBINS-I and RoB 2 tools. Out of 54 potential studies, 4 met the eligibility criteria, representing 150 patients aged 16-19 years. The studies reported improvements in condition-related knowledge, self-management skills, and social support, although data on clinical health outcomes were limited. A narrative synthesis of the selected interventions was performed.</p><p><strong>Conclusion: </strong>Self-management interventions using self-efficacy frameworks show promise for improving patient-reported outcomes among youth with CHD. However, there is a scarcity of data on their impact on health outcomes. Further research is needed to develop and implement interventions tailored to this population, potentially improving both self-management and clinical outcomes.</p><p><strong>Registration: </strong>CRD42024499008.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expanding the reach of psychological care: reflections on iCBT in cardiovascular populations.","authors":"Peter Johansson","doi":"10.1093/eurjcn/zvaf095","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf095","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: The importance of respectful language to enhance care. A statement of the Association of Cardiovascular Nurses & Allied Professions (ACNAP) of the ESC, the ESC Patient Forum and the ESC Advocacy Committee.","authors":"","doi":"10.1093/eurjcn/zvaf110","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf110","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The promise and potential pitfalls of artificial intelligence in risk prediction models.","authors":"Patricia M Davidson, Peter Brown","doi":"10.1093/eurjcn/zvaf117","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf117","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The implantable cardioverter-defibrillator: unseen but should not be forgotten.","authors":"Karen Smyth, Catherine Gavin","doi":"10.1093/eurjcn/zvaf111","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf111","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conjoint Trajectories of Anxiety and Depression in Patients with Heart Failure and Their Caregivers within Three Months Post-Discharge: Exploring Their Interconnections with Dyadic Burdens Using Network Analysis.","authors":"Bowen Wan, Yaqi Wang, Qingyun Lv, Sisi Cheng, Yujun Wang, Jingwen Liu, Yuan He, Hairong Chang, Xueying Xu, Xia Chen, Li Fu, Xiaoying Zang, Xiaonan Zhang","doi":"10.1093/eurjcn/zvaf126","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf126","url":null,"abstract":"<p><strong>Aims: </strong>To reveal the multi-trajectory of anxiety and depression in patients with HF(heart failure) and their caregivers within three months post-discharge and to illustrate the interconnections among these trajectories and dyadic burden components.</p><p><strong>Methods and results: </strong>We recruited 248 pairs of patients with HF and caregivers from four tertiary hospitals in Tianjin, China. Data were collected at baseline, two weeks, four weeks, and three months post-discharge. Group-Based Trajectory Modeling (GBTM) was used to identify the trajectories, while network analysis was used to explore interconnections among these trajectories and dyadic burdens components. Expected Influence (EI) was utilized to identify core nodes within the network. Three co-joint trajectories were identified: mild disorder (27.4%), moderate disorder (58.9%), and severe disorder (13.7%), with significant demographic differences noted among groups. The five most core nodes in the network were personal burden (EI=1.19), role burden (EI=1.07), dyspnea when lying down (EI=0.83), daytime dyspnea (EI=0.38), and difficulty sleeping (EI=0.36). The nodes most strongly associated with anxiety and depression trajectories included chest pain, fatigue, and dizziness. Sensitivity analysis affirmed the findings' robustness.</p><p><strong>Conclusion: </strong>Anxiety and depression co-joint trajectories among patients with HF and caregivers showed heterogeneity, with core constructions identified for future intervention studies to reduce dyadic burdens and improve the adverse development of anxiety and depression.</p><p><strong>Registration: </strong>ChiTR ChiCTR2400088241.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections on the ACNAP congress as a first-timer.","authors":"Chloé P Desmedt","doi":"10.1093/eurjcn/zvaf125","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf125","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to: Frailty and nutrition in older adults with ACS: advancing risk stratification and care-a commentary.","authors":"","doi":"10.1093/eurjcn/zvaf101","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf101","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}