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Teleconsultation: a tool to support people with heart failure
Session:
SESSÃO DE POSTERS 23 - INSUFICIÊNCIA CARDÍACA E HIPERTENSÃO PULMONAR: DUAS ÁREAS DE INTENSOS AVANÇOS CIENTÍFICOS
Speaker:
Ana Rita Correia de Sousa
Congress:
CPC 2025
Topic:
D. Heart Failure
Theme:
10. Chronic Heart Failure
Subtheme:
10.7 Chronic Heart Failure - Other
Session Type:
Cartazes
FP Number:
---
Authors:
Ana Rita Sousa; Crisálida Ferreira; Sofia Senhorinho; Sara Gonçalves
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Introduction: Teleconsultation aims to offer a specialized evaluation that promotes proximity and ensures the accessibility of care in order to respond to the needs of patients. Heart failure (HF) is a public health problem with a high incidence and is the first cause of hospitalization after the age of 65 in industrialized countries. In order to create strategies that facilitate quick and personalized management in case of decompensation, adherence to treatment and support for the management of the person with HF, our outpatientHF clinic team created a direct contact for the person/family with HF and the primary health care (PHC) health team.</span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Purpose: To demonstrate the importance of unscheduled teleconsultation in the management of decompensations of people with HF. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Methods: Retrospective evaluation of teleconsults provided by HF outpatient nursing team, from January 2020 to November 2024. Clinical cases were discussed with HF specialists whenever necessary. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Results: We analyzed 5551 telephone contacts, 3057 (55%) of clinical acts. Contacts related to symptoms of congestion and low output were 29% (n=880), clarification of doubts 37% (n=1122) (mainly about the therapeutic regimen), 24% (n=730) related to other pathologies, 1.5% (n=46) related to dysrhythmias and ICD shocks, 6.4% (n=188) about therapeutic complications. We also receive contacts from primary care, 3% (n=79), for clinical discussion or urgent referral to HF clinic. In 1654 clinical contacts (86%) an action was taken: 35% (n=570) were forwarded for urgent HF outpatients clinic visits, 16% (n=271 ) were sent for primary health care evaluation and 4% (n=62) to the emergency room. In 45% (n=751) of calls, immediate therapeutic adjustment was performed and posterior in-person or non-face-to-face reassessment was made when necessary. Of the 343 contacts due to congestion and low output requiring urgent visit, 41% received intravenous therapy in the HF clinic and the remaining 59% underwent therapeutic adjustment. Only 6% (21) of these were sent to E.R. or to direct hospitalization and 33% (7) were non cardiac reasons. </span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Conclusion: Direct access to the HF multidisciplinary team with “ an open door philosophy” is crucial in the management of HF patients preventing emergency room visits and hospitalizations. </span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif"><span style="color:#000000">Keywords: heart failure, Teleconsultation, health gains, care integration</span></span></span></p> <p> </p>
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