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Related Concept Videos

Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...

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Multiplexed Fluorescent Microarray for Human Salivary Protein Analysis Using Polymer Microspheres and Fiber-optic Bundles
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[Avoidable Hospital Admissions for Heart Failure, Spain].

Victoria Ruiz-Romero1, Nicola Lorusso2, Sebastián Expósito García3

  • 1Unidad de Investigación Calidad y Formación. Hospital San Juan de Dios del Aljarafe. Bormujos. Sevilla.

Revista Espanola De Salud Publica
|April 26, 2016
PubMed
Summary

Avoidable hospital admissions for heart failure disproportionately affect elderly women with multiple comorbidities. Key risk factors include advanced age, comorbidities, and lack of beta-blocker treatment, highlighting needs for improved patient care processes.

Keywords:
AnemiaAtrial FibrillationChronic Kidney DiseasesClinical AuditDiabetes MellitusDyslipidemiasHeart failureHypertensionPatient readmissionSpain

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Area of Science:

  • Cardiology
  • Public Health
  • Geriatrics

Background:

  • Avoidable hospital admissions for heart failure (HF) represent a significant global health system burden.
  • These admissions lead to wasted resources, increased patient morbidity, and high mortality rates.

Purpose of the Study:

  • To identify risk factors associated with hospital admissions in patients diagnosed with heart failure.
  • To inform strategies for reducing preventable hospitalizations and improving patient outcomes.

Main Methods:

  • An audit was conducted on 110 patients from Aljarafe towns with high heart failure admission rates.
  • Statistical analyses included Student T test, Mann Whitney, Chi-square, and Fisher exact tests.

Main Results:

  • Admitted patients averaged 78.1 years, with 66.4% being women, often with multiple comorbidities (hypertension, diabetes, CKD).
  • Hospital mortality was 20.9%, associated with older age, female sex, prior admissions, and lack of beta-blocker use.
  • Risk factors for readmission included caregiver identification, ischemic HF, re-vascularization, and program inclusion.

Conclusions:

  • Heart failure hospitalizations frequently involve an elderly population with multiple chronic diseases and functional limitations.
  • Hospital mortality is linked to advanced age, female sex, underutilization of beta-blockers, and insufficient patient involvement in care.