BACKGROUND Heart failure outcomes remain poor, and little is known about the causes and predictors of these outcomes in Lebanon. AIM The purpose of this article is to report the causes and predictors of the 6- and 12-month readmission and mortality of previously recruited patients to the Family focused Approach to iMprove Heart Failure care In LebanonQualitY intervention (FAMILY) study. METHODS A multi-site block randomized controlled trial in three tertiary medical centers in Beirut. Initially, participants were randomized to either the control or the intervention group. The latter group, with their family caregivers, received heart failure self-care resources and an educational intervention on self-care and symptom management during their index admission. Participants from the FAMILY study were followed up with through phone calls for readmission and mortality at 6 and 12 months following their hospital discharge. RESULTS A total of 218 (85%) patients were followed up with for this evaluation. There was a significant difference between the intervention group and the control group in terms of mortality at 6 months (n=18 (16%) versus n=36 (33%); p<0.05) and 12 months (n=29 (26%) versus n=45 (42%); p<0.05) post the index discharge. Mortality at 6 and 12 months was associated with aging, lower body mass index scores and readmission at 30 days post the index admission. Results of a logistic regression for mortality at 6 months showed hypertensive etiology of heart failure and 30-day readmission to be the only significant predictors. CONCLUSION A single session intervention was associated with lower mortality, even after an extended period of time, possibly mediated by other variables. Future studies should be powered for such outcomes while also addressing the cultural needs and literacy levels of the patients using multi-session trials and more frequent follow-ups.

中文翻译：

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对心力衰竭自我护理的单一教育干预：多中心随机对照试验的扩展随访

背景 心力衰竭结果仍然很差，在黎巴嫩这些结果的原因和预测因素知之甚少。目的 本文的目的是向黎巴嫩质量干预 (FAMILY) 研究中以家庭为中心改善心力衰竭护理的方法报告先前招募的患者 6 个月和 12 个月再入院和死亡率的原因和预测因素。方法 在贝鲁特的三个三级医疗中心进行了一项多中心区组随机对照试验。最初，参与者被随机分配到对照组或干预组。后一组与他们的家庭护理人员一起，在他们入院期间接受了心力衰竭自我护理资源和自我护理和症状管理的教育干预。来自 FAMILY 研究的参与者在出院后 6 个月和 12 个月时通过电话跟踪再入院和死亡率。结果 共有 218 名 (85%) 患者接受了此次评估的随访。干预组和对照组在 6 个月死亡率（n=18（16%）对比 n=36（33%）；p<0.05）和 12 个月（n=29（26 %) 与 n=45 (42%)；p<0.05) 指数放电后。6 个月和 12 个月的死亡率与衰老、较低的体重指数评分和指数入院后 30 天的再入院有关。6 个月死亡率的逻辑回归结果显示，心力衰竭的高血压病因和 30 天再入院是唯一重要的预测因子。结论 单次干预与较低的死亡率相关，即使经过较长时间，也可能由其他变量介导。未来的研究应为此类结果提供动力，同时还应使用多阶段试验和更频繁的随访来解决患者的文化需求和文化水平。