Association of Function, Symptoms, and Social Support Reported in Standardized Outpatient Clinic Questionnaires With Subsequent Hospital Discharge Disposition and 30-Day Readmissions

Keeney, Tamra; Lee, Minji K.; Basford, Jeffrey R.; Cheville, Andrea L.

doi:10.1016/j.apmr.2022.06.004

Cited by 1 publication

(2 citation statements)

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“…Furthermore, no deaths were reported among the study population during the follow-up period, in contrast to a previously reported mortality rate of 34.3% in a population without multidisciplinary follow-up [22]. The low incidence of HF-related events observed in this study may be attributed to the continuous and personalized patient follow-up of patients, the comprehensive management delivered by the multidisciplinary HF team, and the patient education on recognizing and managing HF symptoms and decompensation, as previously demonstrated for patients with cardiac conditions [18].…”

Section: Discussioncontrasting

confidence: 54%

“…Follow-up care for these patients involves scheduled appointments with cardiologists and general practitioners, telephone contacts, and patient self-assessment [15][16][17]. In fact, the outpatient management of HF patients has been addressed in several publications, highlighting the importance of assessing symptom burden, promoting self-monitoring, and implementing transitional care for improved outcomes and reduced hospital readmissions [10,[18][19][20].…”

Section: Discussionmentioning

confidence: 99%

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Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome

Sousa,

Ponte,

Caeiro

et al. 2023

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Chronic heart failure (HF) is the 21st-century cardiovascular epidemic, marked by recurrent hospitalizations and high mortality rates, and represents a considerable burden on Western societies. The complex care demands of HF patients require multidisciplinary approaches, aligning with contemporary guidelines. Accordingly, the Excellence in Heart Failure Program, implemented in Portuguese tertiary hospitals, aims to establish multidisciplinary HF outpatient clinics in Portugal, improving patients’ clinical outcomes. Herein, the results of its pilot project are presented, showing that the implementation of the multidisciplinary clinic resulted in a minimal number of hospitalizations and emergency visits, with only one rehospitalization reported. In addition, patients in the Program experienced significant improvements in ejection fraction (EF) and NT-proBNP levels. Despite the limited power of the sample, these findings underscore the effectiveness of the Program in the management of Portuguese HF patients, particularly in the early discharge period after heart failure, when patients are most vulnerable.

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Section: Discussioncontrasting

confidence: 54%