Checklist for The Pre-Discharge of Heart Failure Hospitalizations
DOI:
https://doi.org/10.24950/NEIC/184/20/1/2021Keywords:
Heart Failure, Hospitalization, Patient DischargeAbstract
Heart failure (HF) is a serious burden for the public health in Portugal, being associated to high morbidity and mortality. The clinical management of HF is complex and the disease awareness and healthcare articulation need to be improved. HF patients are frequently hospitalized due to acute episodes. These hospital stays are excellent opportunities for the optimization of the HF clinical management. According to the international recommendations, checklists must be used by the medical staff when dealing with hospitalized HF patients, to improve the clinical outcomes of the disease, and hence, mitigate the clinical and financial impact of the disease. With this position statement the Study Group for Heart Failure (NEIC) from the Portuguese Society of Internal Medicine (SPMI) proposes the implementation of a checklist for the hospital discharge of HF patients in order to improve the clinical management of hospitalized HF patients in Portugal. The purposed checklist follows all the relevant international guidelines and recommendations for the management of HF, considering the Portuguese clinical practice, epidemiology and demography.
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Ceia F, Fonseca C, Mota T, Morais H, Matias F, de Sousa A, et al. Prevalence of chronic heart failure in Southwestern Europe : the EPICA study.Eur J Heart Fail. 2002;4:531–9.
Fonseca C, Brás D, Araújo I, Ceia F. Insuficiência cardíaca em números: estimativas para o século XXI em Portugal. Rev Port Cardiol. 2018;37:97–104.
Almeida Gouveia M, Silva Ascenção R, Fiorentino F, Guerra da Costa J, Broeiro-Gonçalves P, Fonseca C, et al. Os custos da insuficiência cardíaca
em Portugal e a sua evolução previsível com o envelhecimento da população. Rev Port Cardiol. 2020;39:3-11.
Hollenberg SM, Warner Stevenson L, Ahmad T, Amin VJ, Bozkurt B, Butler J, et al. 2019 ACC Expert Consensus Decision Pathway on Risk Assessment, Management, and Clinical Trajectory of Patients Hospitalized With Heart Failure: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2019;74:1966–2011. doi: 10.1016/j.jacc.2019.08.001.
Ponikowski P, Poland C, Voors AA, Germany SDA, Uk JGFC, Uk AJSC, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology ( ESC ) Developed with the special contribution. Eur Heart J. 2016;2129–200.
American Heart Association (AHA), (ASA) ASA. Target: HF strategies and clinical tools. Discharge checklist. Chicago: AHA; 2020.
Chandra A, Lewis EF, Claggett BL, Desai AS, Packer M, Zile MR, et al. Effects of Sacubitril/Valsartan on Physical and Social Activity Limitations in Patients With Heart Failure: A Secondary Analysis of the PARADIGM-HF Trial. J Am Med Assoc. 2018;3:498–505. doi: 10.1001/jamacardio.2018.0398.
Lewis EF, Claggett BL, McMurray JJ, Packer M, Lefkowitz MP, Rouleau JL, et al. Health-Related Quality of Life Outcomes in PARADIGM-HF. Circ Heart Fail. 2017;10:e003430. doi: 10.1161/CIRCHEARTFAILURE.116.003430.
McMurray JJV, Packer M, Desai AS, Gong J, Lefkowitz MP, Rizkala AR, et al. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med. 2014;371:993–1004. doi: 10.1056/NEJMoa1409077.
Velazquez EJ, Morrow DA, DeVore AD, Duffy CI, Ambrosy AP, McCague K, et al. Angiotensin-neprilysin inhibition in acute decompensated heart failure. N Engl J Med. 2019;380:539–48. doi: 10.1056/NEJMoa1812851.
Arora S, Patel P, Lahewala S, Patel N, Patel NJ, Thakore K, et al. Etiologies, trends, and predictors of 30-day readmission in patients with heart failure. Am J Cardiol. 2017;119:760–9. doi: 10.1016/j.amjcard.2016.11.022.
National Clinical Guideline Center. Acute Heart Failure Acute heart failure: diagnosing and managing acute heart failure in adults. 2014. [accessed Oct 2020] Available from: https://www.ncbi.nlm.nih.gov/books/NBK248063/pdf/Bookshelf_NBK248063.pdf
Fernandéz JM, Arévalo JC, Beltrán M, Camafort M, Casado J, Cerqueiro JM, et al. Protocolo de Manejo de la Insuficiencia Cardíaca Aguda. 2019.
Available at: https://www.fesemi.org/sites/default/files/documentos/publicaciones/protocolo-manejo-ica.pdf
Ural D, Cavusoglu Y, Eren M, Karauzum K, Temizhan A, Yilmaz MB, et al. Diagnosis and management of acute heart failure. Anatol J Cardiol. 2015; 15:860–89.
Ekundayo OJ, Muchimba M, Aban IB, Ritchie C, Campbell RC, Ahmed A. Multimorbidity due to diabetes mellitus and chronic kidney disease and outcomes in chronic heart failure. Am J Cardiol. 2009; 103:88—92.
Seferovic PM, Ponikowski P, Anker SD, Bauersachs J, Chioncel O, Cleland JG, et al. Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2019;21:1169–86. doi: 10.1002/ejhf.1531.
Zannad F, McMurray JJ V, Krum H, van Veldhuisen DJ, Swedberg K, Shi H, et al. Eplerenone in patients with systolic heart failure and mild symptoms. N Engl J Med. 2010;364:11–21. doi: 10.1056/NEJMoa1009492.
Swedberg K, Komajda M, Böhm M, Borer JS, Ford I, Dubost-Brama A, et al. Ivabradine and outcomes in chronic heart failure (SHIFT): a randomised placebo-controlled study. Lancet. 2010;376:875–85. doi: 10.1016/S0140-6736(10)61198-1.
McMurray JJ, Solomon SD, Inzucchi SE, Køber L, Kosiborod MN, Martinez FA, et al. Dapagliflozin in patients with heart failure and reduced ejection fraction. N Engl J Med. 2019;381:1995–2008. doi: 10.1056/NEJMoa1911303.
Basoor A, Doshi NC, Cotant JF, Saleh T, Todorov M, Choksi N, et al. Decreased readmissions and improved quality of care with the use of an inexpensive checklist in heart failure. Congest Hear Fail. 2013;19:200–6. doi: 10.1111/chf.12031.
Legallois D, Chaufourier L, Blanchart K, Parienti J-J, Belin A, Milliez P, et al. Improving quality of care in patients with decompensated acute heart failure using a discharge checklist. Arch Cardiovasc Dis. 2019;112:494–501. doi: 10.1016/j.acvd.2019.05.003.
Allain F, Loizeau V, Chaufourier L, Hallouche M, Herrou L, Hodzic A, et al. Usefulness of a personalized algorithm-based discharge checklist in patients hospitalized for acute heart failure. ESC Hear Fail. 2020 ;7:1217–23. doi: 10.1002/ehf2.12604.
Cowie MR, Lopatin YM, Saldarriaga C, Fonseca C, Sim D, Magaña JA, et al. The Optimize Heart Failure Care Program: Initial lessons from global
implementation. Int J Cardiol. 2017;236:340–4. doi: 10.1016/j.ijcard.2017.02.033.
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