Understanding Hospitalization in Patients with Heart Failure

Detalhes bibliográficos
Autor(a) principal: Mesquita,Evandro Tinoco
Data de Publicação: 2017
Outros Autores: Jorge,Antonio José Lagoeiro, Rabelo,Luciana Morais, Souza Jr,Celso Vale
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Journal of Cardiovascular Sciences (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000100081
Resumo: Abstract Heart failure is one of the most important and challenging public health problems of the 21st century and is associated with hard outcomes, such as death and hospitalization. New treatments for heart failure, despite the decrease in mortality, have not contributed to the decrease in hospitalization rates. Patients admitted with heart failure have a high event rate (> 50%) with a mortality rate between 10 and 15% and a rehospitalization rate within 6 months after discharge of 30 to 40%. Three major causes seem to directly affect the rehospitalization of patients with heart failure: comorbidities, congestion and target-organ lesion. The transition from inpatient to outpatient is a period of vulnerability, due to the progressive nature complexity of heart failure, with an impact on prognosis and which can extend for up to 6 months after hospital discharge. The physician has an important role in the actions that can minimize the risk of hospitalization for heart failure and the multidisciplinary approach, associated with the implementation of good practices supported by scientific evidence, can reduce the risk of hospitalization. The use of routines that have been proven to reduce hospitalization should be used in Brazilian hospitals. The objective of this review was to discuss the main causes of hospitalization, their impact on heart failure evolution and strategies that can be used to reduce it.
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spelling Understanding Hospitalization in Patients with Heart FailureHeart Failure / mortalityHospitalization / trendsComorbidityPrognosisMedication AdherenceAbstract Heart failure is one of the most important and challenging public health problems of the 21st century and is associated with hard outcomes, such as death and hospitalization. New treatments for heart failure, despite the decrease in mortality, have not contributed to the decrease in hospitalization rates. Patients admitted with heart failure have a high event rate (> 50%) with a mortality rate between 10 and 15% and a rehospitalization rate within 6 months after discharge of 30 to 40%. Three major causes seem to directly affect the rehospitalization of patients with heart failure: comorbidities, congestion and target-organ lesion. The transition from inpatient to outpatient is a period of vulnerability, due to the progressive nature complexity of heart failure, with an impact on prognosis and which can extend for up to 6 months after hospital discharge. The physician has an important role in the actions that can minimize the risk of hospitalization for heart failure and the multidisciplinary approach, associated with the implementation of good practices supported by scientific evidence, can reduce the risk of hospitalization. The use of routines that have been proven to reduce hospitalization should be used in Brazilian hospitals. The objective of this review was to discuss the main causes of hospitalization, their impact on heart failure evolution and strategies that can be used to reduce it.Sociedade Brasileira de Cardiologia2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000100081International Journal of Cardiovascular Sciences v.30 n.1 2017reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/2359-4802.20160060info:eu-repo/semantics/openAccessMesquita,Evandro TinocoJorge,Antonio José LagoeiroRabelo,Luciana MoraisSouza Jr,Celso Valeeng2017-08-30T00:00:00Zoai:scielo:S2359-56472017000100081Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2017-08-30T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Understanding Hospitalization in Patients with Heart Failure
title Understanding Hospitalization in Patients with Heart Failure
spellingShingle Understanding Hospitalization in Patients with Heart Failure
Mesquita,Evandro Tinoco
Heart Failure / mortality
Hospitalization / trends
Comorbidity
Prognosis
Medication Adherence
title_short Understanding Hospitalization in Patients with Heart Failure
title_full Understanding Hospitalization in Patients with Heart Failure
title_fullStr Understanding Hospitalization in Patients with Heart Failure
title_full_unstemmed Understanding Hospitalization in Patients with Heart Failure
title_sort Understanding Hospitalization in Patients with Heart Failure
author Mesquita,Evandro Tinoco
author_facet Mesquita,Evandro Tinoco
Jorge,Antonio José Lagoeiro
Rabelo,Luciana Morais
Souza Jr,Celso Vale
author_role author
author2 Jorge,Antonio José Lagoeiro
Rabelo,Luciana Morais
Souza Jr,Celso Vale
author2_role author
author
author
dc.contributor.author.fl_str_mv Mesquita,Evandro Tinoco
Jorge,Antonio José Lagoeiro
Rabelo,Luciana Morais
Souza Jr,Celso Vale
dc.subject.por.fl_str_mv Heart Failure / mortality
Hospitalization / trends
Comorbidity
Prognosis
Medication Adherence
topic Heart Failure / mortality
Hospitalization / trends
Comorbidity
Prognosis
Medication Adherence
description Abstract Heart failure is one of the most important and challenging public health problems of the 21st century and is associated with hard outcomes, such as death and hospitalization. New treatments for heart failure, despite the decrease in mortality, have not contributed to the decrease in hospitalization rates. Patients admitted with heart failure have a high event rate (> 50%) with a mortality rate between 10 and 15% and a rehospitalization rate within 6 months after discharge of 30 to 40%. Three major causes seem to directly affect the rehospitalization of patients with heart failure: comorbidities, congestion and target-organ lesion. The transition from inpatient to outpatient is a period of vulnerability, due to the progressive nature complexity of heart failure, with an impact on prognosis and which can extend for up to 6 months after hospital discharge. The physician has an important role in the actions that can minimize the risk of hospitalization for heart failure and the multidisciplinary approach, associated with the implementation of good practices supported by scientific evidence, can reduce the risk of hospitalization. The use of routines that have been proven to reduce hospitalization should be used in Brazilian hospitals. The objective of this review was to discuss the main causes of hospitalization, their impact on heart failure evolution and strategies that can be used to reduce it.
publishDate 2017
dc.date.none.fl_str_mv 2017-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000100081
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000100081
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/2359-4802.20160060
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia
dc.source.none.fl_str_mv International Journal of Cardiovascular Sciences v.30 n.1 2017
reponame:International Journal of Cardiovascular Sciences (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str International Journal of Cardiovascular Sciences (Online)
collection International Journal of Cardiovascular Sciences (Online)
repository.name.fl_str_mv International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv tailanerodrigues@cardiol.br||revistaijcs@cardiol.br
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