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如何建立国家心力衰竭诊所网络:希腊心力衰竭协会的共识文件。

How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association.

出版信息

ESC Heart Fail. 2020 Feb;7(1):15-25. doi: 10.1002/ehf2.12558. Epub 2020 Feb 26.

DOI:10.1002/ehf2.12558
PMID:32100972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7083479/
Abstract

Heart failure (HF) is rapidly growing, conferring considerable mortality, morbidity, and costs. Dedicated HF clinics improve patient outcomes, and the development of a national HF clinics network aims at addressing this need at national level. Such a network should respect the existing health care infrastructures, and according to the capacities of hosting facilities, it can be organized into three levels. Establishing the continuous communication and interaction among the components of the network is crucial, while supportive actions that can enhance its efficiency include involvement of multidisciplinary health care professionals, use of structured HF-specific documents, such as discharge notes, patient information leaflets, and patient booklets, and implementation of an HF-specific electronic health care record and database platform.

摘要

心力衰竭(HF)的发病率迅速上升,导致死亡率、发病率和医疗成本显著增加。专门的心力衰竭诊所可改善患者的预后,而建立全国心力衰竭诊所网络的目的就是在国家层面满足这一需求。该网络应尊重现有的医疗保健基础设施,并根据主办设施的能力,将其组织成三个层次。建立网络各组成部分之间的持续沟通和互动至关重要,而提高其效率的支持性措施包括多学科医疗保健专业人员的参与、使用特定于心力衰竭的结构化文件,如出院记录、患者信息传单和患者手册,以及实施特定于心力衰竭的电子医疗保健记录和数据库平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c859/7083479/9323f2a3f0fa/EHF2-7-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c859/7083479/9323f2a3f0fa/EHF2-7-15-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c859/7083479/9323f2a3f0fa/EHF2-7-15-g001.jpg

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本文引用的文献

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Global Differences in Characteristics, Precipitants, and Initial Management of Patients Presenting With Acute Heart Failure.全球急性心力衰竭患者特征、诱发因素和初始治疗的差异。
JAMA Cardiol. 2020 Apr 1;5(4):401-410. doi: 10.1001/jamacardio.2019.5108.
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Heart Failure Association of the European Society of Cardiology practical guidance on the use of natriuretic peptide concentrations.欧洲心脏病学会心力衰竭协会关于利钠肽浓度检测的临床应用实践指南
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Multidisciplinary Heart Failure Clinics Are Associated With Lower Heart Failure Hospitalization and Mortality: Systematic Review and Meta-analysis.
心力衰竭网络发展的结构组成部分。
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Practical Approaches to Build and Sustain a Cardio-Oncology Clinic.建立和维持心脏肿瘤诊所的实用方法
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Distribution, infrastructure, and expertise of heart failure and cardio-oncology clinics in a developing network: temporal evolution and challenges during the coronavirus disease 2019 pandemic.在一个发展中的网络中,心力衰竭和心脏肿瘤学诊所的分布、基础设施和专业知识:在 2019 冠状病毒病大流行期间的时间演变和挑战。
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10 year trends in hospitalization rates due to heart failure and related in-hospital mortality in Poland (2010-2019).波兰心力衰竭住院率及相关院内死亡率的10年趋势(2010 - 2019年)
ESC Heart Fail. 2020 Dec;7(6):3365-3373. doi: 10.1002/ehf2.13060. Epub 2020 Oct 22.
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Anatol J Cardiol. 2020 Jul;24(1):41-42. doi: 10.14744/AnatolJCardiol.2020.62747.
多学科心力衰竭诊所与降低心力衰竭住院率和死亡率相关:系统评价和荟萃分析。
Can J Cardiol. 2017 Oct;33(10):1237-1244. doi: 10.1016/j.cjca.2017.05.011. Epub 2017 May 24.
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BMC Cardiovasc Disord. 2016 Oct 11;16(1):195. doi: 10.1186/s12872-016-0371-7.
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