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Campo DC | Valor | Lengua/Idioma |
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dc.contributor.author | Masters, Jayne | - |
dc.contributor.author | Morton, Geraint | - |
dc.contributor.author | Antón-Solanas, Isabel | - |
dc.contributor.author | Szymanski, Jane | - |
dc.contributor.author | Greenwood, Elizabeth | - |
dc.contributor.author | Grogono, Joanna | - |
dc.contributor.author | Flett, Andrew S | - |
dc.contributor.author | Cleland, John G F | - |
dc.contributor.author | Cowburn, Peter J | - |
dc.date.accessioned | 2019-12-10T13:16:12Z | - |
dc.date.available | 2019-12-10T13:16:12Z | - |
dc.date.issued | 2017-03-08 | - |
dc.identifier.citation | Masters J, Morton G, Anton I, et alSpecialist intervention is associated with improved patient outcomes in patients with decompensated heart failure: evaluation of the impact of a multidisciplinary inpatient heart failure teamOpen Heart 2017;4:e000547. doi: 10.1136/openhrt-2016-000547 | es_ES |
dc.identifier.issn | 2053-3624 | es_ES |
dc.identifier.uri | https://repositorio.usj.es/handle/123456789/255 | - |
dc.description.abstract | Objective The study aimed to evaluate the impact of a multidisciplinary inpatient heart failure team (HFT) on treatment, hospital readmissions and mortality of patients with decompensated heart failure (HF). Methods A retrospective service evaluation was undertaken in a UK tertiary centre university hospital comparing 196 patients admitted with HF in the 6 months prior to the introduction of the HFT (pre-HFT) with all 211 patients seen by the HFT (post-HFT) during its first operational year. Results There were no significant differences in patient baseline characteristics between the groups. Inpatient mortality (22% pre-HFT vs 6% post-HFT; p<0.0001) and 1-year mortality (43% pre-HFT vs 27% post-HFT; p=0.001) were significantly lower in the post-HFT cohort. Post-HFT patients were significantly more likely to be discharged on loop diuretics (84% vs 98%; p=<0.0001), ACE inhibitors (65% vs 76%; p=0.02), ACE inhibitors and/or angiotensin receptor blockers (83% vs 91%; p=0.02), and mineralocorticoid receptor antagonists (44% vs 68%; p<0.0001) pre-HFT versus post-HFT, respectively. There was no difference in discharge prescription rates of beta-blockers (59% pre-HFT vs 63% post-HFT; p=0.45). The mean length of stay (17±19 days pre-HFT vs 19±18 days post-HFT; p=0.06), 1-year all-cause readmission rates (46% pre-HFT vs 47% post-HFT; p=0.82) and HF readmission rates (28% pre-HFT vs 20% post-HFT; p=0.09) were not different between the groups. Conclusions The introduction of a specialist inpatient HFT was associated with improved patient outcome. Inpatient and 1-year mortality were significantly reduced. Improved use of evidence-based drug therapies, more intensive diuretic use and multidisciplinary care may contribute to these differences in outcome. | es_ES |
dc.format.extent | 7 p. | es_ES |
dc.format.mimetype | application/pdf | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | BMJ Publishing Group | es_ES |
dc.relation.requires | Adobe PDF | es_ES |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Insuficiencia cardíaca descompensada | es_ES |
dc.subject | Terapias farmacológicas | es_ES |
dc.subject | Atención multidisciplinaria especializada | es_ES |
dc.subject | Práctica clínica | es_ES |
dc.title | Specialist intervention is associated with improved patient outcomes in patients with decompensated heart failure: evaluation of the impact of a multidisciplinary inpatient heart failure team | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.subject.unesco | Servicio de enfermería | es_ES |
dc.relation.publisherversion | https://openheart.bmj.com/content/4/1/e000547.info | es_ES |
dc.identifier.doi | 10.1136/openhrt-2016-000547 | es_ES |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | es_ES |
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