{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:53:24Z","timestamp":1790301204896,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,3,11]],"date-time":"2011-03-11T00:00:00Z","timestamp":1299801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>Patients with advanced chronic heart failure (CHF) can experience \u2018revolving door\u2019 admissions, often for parenteral diuretics, when time at home is precious. Home intravenous diuretic services are patchy. This retrospective review describes 43 consecutive episodes of continuous subcutaneous infusion of furosemide (CSCI-F) in 32 advanced CHF patients; 28 episodes aiming to correct fluid balance and prevent hospital admission and 15 aiming to prevent symptoms in the dying.<\/jats:p>\n                  <jats:p>Overall, 26\/28 (93%) avoided hospital admission. Weight loss occurred in 20\/28 (70%): a median loss of 5.6\u2009kg [interquartile range (IQR) 0.1\u20138.9]). The daily dose of furosemide ranged from 40 to 250\u2009mg. The median number of days on CSCI-F was 10.5 (range 2\u201348; IQR 6\u201313.8). Site reactions occurred in 10\/43 (23%); all of which were mild except two, one of which required oral antibiotics. Symptoms were controlled in all 15 dying patients.<\/jats:p>\n                  <jats:p>CSCI-F for patients with advanced CHF is effective in terms of weight loss and prevention of hospital admission with the heart failure nurse specialist playing a key overall management role in selection and monitoring. As the majority of community and hospice nurses have access to and are familiar with CSCI pumps, this practice should be nationally transferable. The role in the dying patient requires further assessment.<\/jats:p>","DOI":"10.1177\/0269216311399490","type":"journal-article","created":{"date-parts":[[2011,3,13]],"date-time":"2011-03-13T21:28:32Z","timestamp":1300051712000},"page":"658-663","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":70,"title":["Is there a role for subcutaneous furosemide in the community and hospice management of end-stage heart failure?"],"prefix":"10.1177","volume":"25","author":[{"given":"Hannah","family":"Zacharias","sequence":"first","affiliation":[{"name":"Yorkshire and Humber Deanery, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Raw","sequence":"additional","affiliation":[{"name":"North Yorkshire and York Primary Care Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Nunn","sequence":"additional","affiliation":[{"name":"St Catherine\u2019s Hospice, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Parsons","sequence":"additional","affiliation":[{"name":"North Yorkshire and York Primary Care Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Johnson","sequence":"additional","affiliation":[{"name":"Hull York Medical School, University of Hull; St Catherine\u2019s Hospice, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,3,11]]},"reference":[{"key":"bibr1-0269216311399490","unstructured":"British Heart Foundation.\n                      Projected number of hospital admissions for heart failure in those aged 45 and over, by sex and age, 2006\/07- 2026\/27\n                      . 2010."},{"key":"bibr2-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.5.505"},{"key":"bibr3-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000338927.43469.35"},{"key":"bibr4-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7370.929"},{"key":"bibr5-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-9842(01)00213-6"},{"key":"bibr6-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7261.605"},{"key":"bibr7-0269216311399490","unstructured":"End of Life Care Strategy\u2009-\u2009promoting high quality care for all adults at the end of life\n                      . London: Department of Health, 2010. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_086277 (accessed 15 February 2011)."},{"key":"bibr8-0269216311399490","unstructured":"Beattie JM.\n                      The burden of advanced heart failure: an instrument to facilitate population based needs assessment for the provision of palliative\/supportive care for management of this chronic progressive disease\n                      . London: National Health Services, 2005."},{"key":"bibr9-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/18.1.41"},{"key":"bibr10-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1177\/0269216308092287"},{"key":"bibr11-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7498.1007"},{"key":"bibr12-0269216311399490","first-page":"194","volume":"16","author":"Johnson M","year":"2009","journal-title":"Br J Cardiol"},{"key":"bibr13-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1E172"},{"key":"bibr14-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1D332"},{"key":"bibr15-0269216311399490","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-198530050-00003"},{"key":"bibr16-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.1994.tb01082.x"},{"key":"bibr17-0269216311399490","doi-asserted-by":"crossref","unstructured":"Salvador DR, Punzalan FE and Ramos GC. Continuous infusion versus bolus injection of loop diuretics in congestive heart failure.\n                      Cochrane Database Syst Rev\n                      2005; Issue 3: Art. No.: CD003178. DOI: 10.1002\/14651858.CD003178.pub3.","DOI":"10.1002\/14651858.CD003178.pub3"},{"key":"bibr18-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2009.11.005"},{"key":"bibr19-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.01.355"},{"key":"bibr20-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2008.01.003"},{"key":"bibr21-0269216311399490","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2005.11.11.20099"},{"key":"bibr22-0269216311399490","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7315.715"},{"key":"bibr23-0269216311399490","unstructured":"Heart failure nurse services in England: executive summary\n                      . London: British Heart Foundation, 2008."},{"key":"bibr24-0269216311399490","first-page":"224","volume":"108","author":"Lichter I","year":"1995","journal-title":"N Z Med J"},{"key":"bibr25-0269216311399490","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2004.10.8.19532"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216311399490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269216311399490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216311399490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:18:35Z","timestamp":1777659515000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269216311399490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,11]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1177\/0269216311399490"],"URL":"https:\/\/doi.org\/10.1177\/0269216311399490","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,11]]}}}