P19 | Post-discharge follow-up in day hospital of patients with heart failure: hospital-territory integrated management
Year: 2025
Type: article
Study design: Observational Study
Abstract: Premises and Purpose of the study: Heart failure constitutes a significant health problem given its high prevalence, the frequency of re-hospitalizations and severe disability, which often entail high social costs. The day-hospital for heart failure, allows the structuring of a rehabilitation project, at ensuring the multidisciplinary nature and continuity of care.Materials and Methods: 160 patients with heart failure were admitted to a day hospital during 12/30/2022-12/31/2023 for follow-up, after hospitalization at our Internal Medicine Unit. Management was integrated with general practitioners, after conducting an initial evaluation both at discharge and 30 days later.Results: Mean age 79.7±8.5; males (58.1%), females (41.2%). Hb:11,9±0.4; creatinine 1.4±0.3; CrCl 43.8±12.5; K. 4.0±0.8; SBP 122.3±; DBP 70.9±9.6; BMI 24.7±4.7. HFrEF 44.3% (EF% 35.5±2.5). HFmrEF 13.7% (EF% 46.4±2.1). HFpEF 43.1% (EF% 62.2±5.0); BNP at baseline and 30 days (551.3 vs. 271.9); NT-proBNP at baseline and 30 days (1352.9 vs. 853.2). Comorbidities: CAD (32.5), CKD (48.5%), COPD (27.5%), Anemia (40.3%), Diabetes (33.1%), Hypertension (62.5%), AF (35%). Treatment: ACE/ARNI (89.9%), BB (86.3%), MRA (48.5%), diuretics (87.5%), digitalis (12.5%), amiodarone (22.0%), NAO (33.6%)Conclusions: A day hospital follow-up approach, after discharge, in patients with congestive heart failure, can improve long-term prognosis. The results, do not seem to depend on any adjustment of the drug. Natriuretic peptides (NPs) represent one potentially appealing strategy, to personalize the approach.
Source: Italian Journal of Medicine
Authors: Vo Van Kha, Tran Thi Huong Ly, Pham Thi Thanh Hoa, Vo Huynh Nhu, Damas Hendriansyah, Nusratuddin Abdullah, Rudy B. Leonardy, Mardiah Tahir, Samrichard Rambulangi, Firdaus Hamid, Filomena Pietrantonio, Vera Kopsaj, Francesco Rosiello, Aurora Tomassoni, Luca Moriconi, Donatella Padua, Kiki Rizki Amelia, Efendi Lukas, Nurbani Bangsawan, Isharyah Sunarno, Retno Budiarti Farid, Sriwijaya Qadar, Rabab H. Elshaikh, Ashok Kumar Sah, Abdelrahman Mohamed Abukanna, Abdulrahman Algarni, Ammar Abdelmola, Hussam Ali Osman, Tagwa Yousif Elsayed Yousif, Elryah I. Ali, Hiba Ali, Ayman Hussein Alfeel, Thanh Long Nguyen, Victor Storm, Lam Toi Phung, Cong Thien Le, Thi Thu Ha Le, Thi Hoa Nguyen, Son Tung Vu, Thien Thang Tran, Minh Hanh Vu, Van Tuan Nguyen, Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico, Giuseppe Mancia, Guido Grassi, Sverre E. Kjeldsen
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413795130