506 A multidisciplinary study on the causes of death in patients hospitalized for hearth failure

Abstract

The S area consisted of 2 sub-areas with a 47% and 40% impairment in S due to F and P limitations, respectively. The self and relatives perception of patient’s ratings of PD showed an increase of 52±28 and 50±29 from controls, respectively. A reverse correlation among the high PD and the low QOL level was observed (r > 0.8, P < 0.001, for all values) but not for EF (r < 3, p = ns). In 1-year follow-up pts were seen for at least 4 times as out-patients but only 40% of them had an average of 2±2.6 hospital readmissions. Counseling on QOL, TC, PD in a hybrid service consisting in a clinicbased follow-up plus hospital readmission favoured thus rational variations in the therapeutical strategy. Such a methodology was followed by a favourable outcome since 1-year mortality ratio was only of 2%. This value is consistently low when compared with data from literature. The use of the CLHFS is rapid (it takes less than 10 min to complete it) and it is an objective instrument for counseling on QOL, TC and PD in CHF.