Cyrille Nicole B, Patel Snehal R
Department of Medicine, Division of Cardiology, Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, NY.
Department of Medicine, Division of Cardiology, Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, NY.
Prog Cardiovasc Dis. 2017 Sep-Oct;60(2):198-204. doi: 10.1016/j.pcad.2017.05.003. Epub 2017 May 10.
Acute Heart Failure (AHF) hospitalization presents a significant financial burden and portends a poor prognosis following discharge. As such, there has been significant emphasis on the late inpatient management of patients hospitalized with AHF to ensure successful transition to the outpatient setting and to reduce overall readmission and mortality rates. Thorough discharge planning and a multidisciplinary team approach are essential and as outlined in this review should focus on four key elements: the assessment of patients' readiness for discharge, optimization of goal directed medical therapy and appropriate device therapy, patient education and transition to the outpatient care.
急性心力衰竭（AHF）住院带来了巨大的经济负担，且预示着出院后预后不良。因此，人们非常重视对AHF住院患者的后期住院管理，以确保成功过渡到门诊治疗，并降低总体再入院率和死亡率。全面的出院计划和多学科团队方法至关重要，正如本综述所概述的，应侧重于四个关键要素：评估患者出院准备情况、优化目标导向的药物治疗和适当的器械治疗、患者教育以及向门诊护理的过渡。
