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Multidisciplinary Heart Failure Care Program: An Experience From Colombia

Clara Saldarriaga1, Catalina Gallego2, Luis Alfonso Fajardo2

  • 1University of Antioquia, Pontificia Bolivariana University, Medellín, Colombia; Cardio VID Clinic, Medellin, Colombia.

Current Problems in Cardiology
|September 27, 2022
PubMed

Insights

Multidisciplinary heart failure programs significantly improve patient outcomes. These programs reduce hospitalizations and length of stay, offering a successful model for lower-income countries.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Heart Failure (HF) prevalence is rising globally, straining healthcare resources and impacting patient quality of life.
  • Effective management strategies are crucial, especially in lower and middle-income countries (LMICs).

Purpose of the Study:

  • To evaluate the long-term (8-year) impact of a multidisciplinary heart failure program on NYHA functional class, ejection fraction, hospitalizations, and mortality.
  • To assess the program's viability as a model for LMICs.

Main Methods:

  • Observational study with retrospective analysis of data from 1757 patients.
  • Inclusion criteria and follow-up duration of 8 years.
  • Assessment of changes in NYHA class, ejection fraction, hospitalization rates, length of stay, and mortality.

Main Results:

  • Significant improvement in NYHA functional class, with an increase in patients in Class I and II.
  • Hospitalizations reduced by 35% (mean 0.68 ± 0.95, P < 0.0001).
  • Length of hospital stay decreased by 13.2% (mean 3.87 ± 8.1 days, P < 0.001).
  • Overall mortality after 8 years was 6.6% (n=116).

Conclusions:

  • Multidisciplinary heart failure programs demonstrably improve patient functional class and ejection fraction.
  • These programs effectively decrease hospital admissions, overall hospitalizations, and length of stay.
  • The program serves as a simple, successful, and implementable model for heart failure care in LMICs.

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