Related Experiment Video

Updated: Nov 23, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

1.0K

Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina

Javier Roberti1,2, Tomás Vita2, Jimena Piastrella3

  • 1CIESP, National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina jroberti@iecs.org.ar.

BMJ Open
|December 30, 2020
PubMed

Insights

Argentine cardiologists developed a heart failure (HF) care bundle to reduce patient readmissions. This evidence-based bundle includes medication, care continuum, lifestyle, and testing interventions.

Area of Science:

  • Cardiology
  • Public Health
  • Healthcare Management

Background:

  • Heart failure (HF) is a leading cause of hospital readmissions.
  • Reducing HF readmissions is a key goal for improving patient outcomes and healthcare efficiency.
  • Argentine healthcare providers sought to standardize care for HF patients.

Purpose of the Study:

  • To establish a consensus among Argentine cardiologists on a comprehensive care bundle.
  • To identify evidence-based interventions aimed at decreasing heart failure readmission rates.
  • To develop a scalable and practical approach for managing HF patients post-discharge.

Main Methods:

  • A mixed-method design incorporating a literature review and a modified Delphi panel.
  • Three rounds of expert scoring were used to refine the intervention list.
  • Twenty-four cardiology experts participated in the consensus-building process.

Main Results:

  • Twenty-six potential interventions were evaluated.
  • The final heart failure care bundle comprises interventions in four categories: medication, continuum of care, lifestyle habits, and predischarge tests.
  • Key interventions include specific medications, follow-up appointments, daily weight monitoring, lifestyle counseling, and essential predischarge tests.

Conclusions:

  • A systematic approach resulted in a consensus-based care bundle for heart failure.
  • Implementation of this bundle has the potential to significantly reduce HF patient readmissions.
  • The developed care bundle can facilitate the widespread adoption of evidence-based practices in HF management.
Abstract

Keywords:
adult cardiologyheart failureprotocols & guidelinesquality in health care

More Related Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.1K
Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

10.7K

Related Concept Videos

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...
93
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,...
255
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
111
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
126
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
119
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
97