The role of heart failure in hospital management program upon mortality

Abstract

Introduction: Heart Failure (HF) is a serious public health problem around the world with a fast growing prevalence. This syndrome curses with high morbidity and mortality. Patients who need hospitalization are considered to be the higher risk group. The application of guidelines significantly improves both morbidity and mortality. Our hypothesis is that an in hospital program for disease management can improve adherence to guidelines and, therefore, reduce mortality from HF. Objective: Evaluate the impact of an In Hospital Management Program for HF upon mortality in this population. Material and methods: We evaluated 428 patients with a diagnosis of HF with ventricular dysfunction (VLEF<45%) divided into two groups: Group 1 (G1) 258 hospitalized patients treated in 2010, before the adoption of the program, and Group 2 (G2) 170 patients hospitalized from August 2011 to October 2012 after the implementation of the Program. The Program consist in a trained and specialized multidisciplinary team working directly with the HF patients and their relatives including a telephone follow up interview after discharge. In Hospital mortality was evaluated. For statistical analysis we used General Estimating Equations test (GEE). Results: Table 1. View this table: Table 1 Conclusion: The Clinical Care Management Program for patients with HF admitted in a hospital was very efficient, with significant decreased mortality.