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Benefits of a comprehensive care model in patients with heart failure and preserved ejection fraction: The UMIPIC

J M Cerqueiro-González1, Á González-Franco2, S Carrascosa-García3

  • 1Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, Spain.

Revista Clinica Espanola
|March 13, 2022
PubMed

Insights

A comprehensive continuous care program (UMIPIC program) significantly reduced hospital admissions and mortality in heart failure with preserved ejection fraction (HFpEF) patients. This approach offers a vital benefit for managing this high-risk population.

Area of Science:

  • Cardiology and Internal Medicine
  • Clinical Trial Research
  • Patient Management Strategies

Background:

  • Heart failure with preserved ejection fraction (HFpEF) affects older patients with multiple comorbidities.
  • HFpEF patients often lack effective therapeutic options and face high risks of hospitalization and mortality.
  • This study investigates the impact of a specialized care program on HFpEF outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of the comprehensive continuous care program (UMIPIC program) in patients with HFpEF.
  • To assess the program's impact on reducing hospital admissions and mortality rates.

Main Methods:

  • Prospective analysis of 2401 HFpEF patients from the RICA registry.
  • Comparison between the UMIPIC program group (n: 1011) and conventional care group (RICA, n: 1390).
  • Propensity score matching (753 patients per group) to ensure comparability; 12-month follow-up for admissions and mortality.

Main Results:

  • The UMIPIC group showed significantly lower HF admission rates (19.2% vs. 36.5%; HR=0.56) compared to the RICA group.
  • Mortality was substantially reduced in the UMIPIC group (12.6% vs. 28%; HR=0.40).
  • No significant difference in non-HF related hospitalizations was observed between the groups.

Conclusions:

  • The UMIPIC program, a comprehensive continuous care model, effectively reduces hospital admissions for HFpEF patients.
  • This program also significantly lowers mortality rates in HFpEF patients with high comorbidity.
  • Continuous care is a beneficial strategy for managing high-risk HFpEF populations.
Abstract

Keywords:
Follow-up programsFracción de eyección preservadaHeart failureInsuficiencia cardíacaPreserved ejection fractionPrognosisProgramas de seguimientoPronóstico

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