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

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 g...

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Main Authors: Olga Sousa, Marta Ponte, Daniel Caeiro, Eulália Pereira, Marisa Silva, Sandra Pestana, Pedro Braga, Ricardo Fontes-Carvalho
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Hearts
Subjects:
Online Access:https://www.mdpi.com/2673-3846/5/1/1
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author Olga Sousa
Marta Ponte
Daniel Caeiro
Eulália Pereira
Marisa Silva
Sandra Pestana
Pedro Braga
Ricardo Fontes-Carvalho
author_facet Olga Sousa
Marta Ponte
Daniel Caeiro
Eulália Pereira
Marisa Silva
Sandra Pestana
Pedro Braga
Ricardo Fontes-Carvalho
author_sort Olga Sousa
collection DOAJ
description 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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spelling doaj.art-8629ce61d10145cf98ababbb3c6fdaa62024-03-27T13:43:53ZengMDPI AGHearts2673-38462023-12-015111310.3390/hearts5010001Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient OutcomeOlga Sousa0Marta Ponte1Daniel Caeiro2Eulália Pereira3Marisa Silva4Sandra Pestana5Pedro Braga6Ricardo Fontes-Carvalho7Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalCentro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, PortugalChronic 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.https://www.mdpi.com/2673-3846/5/1/1heart failuredisease managementmultidisciplinary carehealth servicespatient discharge planningpatient-focused outcomes
spellingShingle Olga Sousa
Marta Ponte
Daniel Caeiro
Eulália Pereira
Marisa Silva
Sandra Pestana
Pedro Braga
Ricardo Fontes-Carvalho
Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
Hearts
heart failure
disease management
multidisciplinary care
health services
patient discharge planning
patient-focused outcomes
title Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
title_full Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
title_fullStr Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
title_full_unstemmed Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
title_short Excellence in Heart Failure: A Multidisciplinary Program on Heart Failure Management for Improved Patient Outcome
title_sort excellence in heart failure a multidisciplinary program on heart failure management for improved patient outcome
topic heart failure
disease management
multidisciplinary care
health services
patient discharge planning
patient-focused outcomes
url https://www.mdpi.com/2673-3846/5/1/1
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