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Two years of activity at a Heart Failure Day Hospital in a private hospital: a real-world portrait
Session:
Sessão de Posters 40 - Insuficiência cardíaca - da Preservada ao Transplante
Speaker:
Pedro Moraes Sarmento
Congress:
CPC 2024
Topic:
D. Heart Failure
Theme:
10. Chronic Heart Failure
Subtheme:
10.6 Chronic Heart Failure - Clinical
Session Type:
Cartazes
FP Number:
---
Authors:
Pedro Moraes Sarmento; Tiago Gonçalves; Margarida Nascimento; Nuno Neves; Margarida Proença; Luis Landeiro; Rui Costa; Ines Araujo; Candida Fonseca
Abstract
<p>A Heart Failure Day Hospital (HFDH) constitutes a pivotal element in the organization of healthcare for patients with Heart Failure (HF). The HFDH inherently serves as a transitional care component between hospitalization and outpatient care. It enables early assessment of a patient's progression post-HF hospitalization as well as monitoring of ambulatory patients exhibiting signs of syndrome decompensation, ensuring optimization of prognostic and diuretic therapeutic interventions. In both scenarios, HFDH evaluation and guidance play a pivotal role in preventing patient rehospitalization, while also serving as a significant diagnostic optimization tool for individuals suspected of HF.</p> <p>Aim: The Heart Failure Day Hospital in one Portuguese private hospital started its activity in December 2021. We aimed to characterize the patient population attended to and the activities conducted since its inception.</p> <p>Methods: Anonymous clinical records were analyzed for demographic data, types of HF, comorbidities, number and types of sessions (titration of disease modifying drugs, intravenous diuretic treatment, correction of iron deficiency, or others), and the sources of referral (hospitalization, outpatient consultation, emergency department, or others).</p> <p>Results: Between December 2021 and December 2023, 452 patients were admitted to the HFDH, comprising 52.9% males with an average age of 79±13 years. One hundred twenty-four patients (27.4%) had HF with reduced ejection fraction, 70 (15.5%) had moderately reduced ejection fraction, and 257 (56.9%) had preserved ejection fraction. A total of 1724 sessions were conducted (3.8 per patient), including 149 sessions of intravenous diuretic treatment (80 patients; 1.9 sessions per patient), 136 sessions of intravenous iron deficiency correction (1.1 sessions per patient), and 1439 sessions of therapeutic titration/optimization. Referrals were sourced from outpatient consultations (45.1%; internal medicine: 24.6%; cardiology: 19%), emergency department (10%), and hospitalization (44.9%).</p> <p>Conclusions: Patients attended to at the HFDH were equally referred from hospitalization and outpatient settings, particularly from Internal Medicine and Cardiology departments. They were predominantly elderly individuals with preserved ejection fraction, regardless of gender. Over 80% of the activity focused on therapeutic optimization for patients, which is in line with the latest update of the HF recommendations.</p>
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