Department of Research, Saskatchewan Health Authority, Regina, SK, Canada.
College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
BMC Res Notes. 2022 Feb 10;15(1):41. doi: 10.1186/s13104-022-05938-z.
Heart failure (HF) is a chronic disease with growing numbers of patients and a significant compromise in quality of life and high mortality. The main purpose of this study was to evaluate the current practices in managing patients with HF among patients admitted to the hospital and discharged with a primary diagnosis of HF and patients managed in the heart function clinic.
This study is a retrospective chart review of patients admitted to the hospital and discharged with a primary diagnosis of HF. A total of 448 patient charts were reviewed, of which 173 patients were in the hospital group and 275 patients in the Clinic group. 278 (62.1%) were men, and 170 (37.9%) were women. The Clinic group of patients were significantly received guideline-directed medical therapy (Beta-blockers, Angiotensin-converting enzyme inhibitors, Angiotensin receptor blockers, Diuretics, Mineralocorticoid receptor antagonists-p < 0.001). The Clinic group of patients (17.1%) were significantly less re-hospitalized (p < 0.001) compared to the Hospital group (28%) at 180 days. Physician led multidisciplinary Heart function clinics have better adherence to guideline directed medical therapy and significantly lower rates of re-hospitalization thereby providing cost effective heart failure management with usual care.
心力衰竭（HF）是一种慢性病，患者数量不断增加，生活质量显著下降，死亡率高。本研究的主要目的是评估因 HF 入院且出院诊断为 HF 的患者和在心脏功能门诊接受管理的患者的 HF 管理现状。
本研究为因 HF 入院且出院诊断为 HF 的患者的回顾性图表审查。共审查了 448 份患者病历，其中 173 份在医院组，275 份在门诊组。278 名（62.1%）为男性，170 名（37.9%）为女性。门诊组患者接受指南指导的药物治疗（β受体阻滞剂、血管紧张素转换酶抑制剂、血管紧张素受体阻滞剂、利尿剂、盐皮质激素受体拮抗剂，p＜0.001）的比例显著更高。与医院组（28%）相比，门诊组（17.1%）在 180 天内的再入院率显著更低（p＜0.001）。由医生主导的多学科心脏功能门诊在遵循指南指导的药物治疗方面具有更好的依从性，再入院率显著更低，从而在常规护理的基础上提供了具有成本效益的心力衰竭管理。
