Department of Cardiology, Clinic of The Universidad de la Sabana, Bogotá, Colombia.
Electrophysiology Service, Sanitas Colombia Clinic, Bogotá, Colombia.
PLoS One. 2024 Sep 3;19(9):e0304124. doi: 10.1371/journal.pone.0304124. eCollection 2024.
The objective of this study was to validate the main therapies used in the treatment of heart failure through a clinical consensus conducted by cardiology experts in Colombia.
The Delphi technique was employed, which involves a series of consultation rounds with experts to reach a consensus. Cardiologists with experience in HF treatment were selected, and they were sent electronic questionnaires to assess the relevance of various therapeutic interventions. Consensus was defined when at least 70% of the experts agreed on the relevance of an intervention.
Fourteen cardiology experts participated in the study. In the first round, nine therapeutic interventions were evaluated, but insufficient agreement was reached to form a consensus. A second round was conducted, where feedback was provided to the experts, and they were asked to rate the relevance of the interventions using a Likert scale. Consensus was achieved for eight of the evaluated therapeutic interventions. The focus of the third round was on the interventions that had not reached consensus in the previous rounds.
This study provides clinical consensus on therapeutic interventions for HF in Colombia. Nine therapeutic interventions were identified as relevant by the experts. These findings can help improve HF treatment and optimize clinical outcomes in Colombia. It is important to note that this study was conducted with local experts, and the results may not be generalizable to other populations.
本研究旨在通过哥伦比亚心脏病专家进行临床共识，验证心力衰竭治疗中主要使用的疗法。
采用 Delphi 技术，通过一系列专家咨询回合达成共识。选择在 HF 治疗方面有经验的心脏病专家，并向他们发送电子问卷，以评估各种治疗干预的相关性。当至少 70%的专家同意干预的相关性时，即可达成共识。
共有 14 名心脏病专家参与了这项研究。在第一轮中，评估了九种治疗干预措施，但未达成足够的共识形成共识。进行了第二轮，向专家提供了反馈，并要求他们使用李克特量表评估干预措施的相关性。评估的八种治疗干预措施中达成了共识。第三轮的重点是在前几轮未达成共识的干预措施。
本研究为哥伦比亚心力衰竭的治疗干预措施提供了临床共识。专家认为九种治疗干预措施具有相关性。这些发现有助于改善哥伦比亚的 HF 治疗并优化临床结果。需要注意的是，这项研究是在当地专家的参与下进行的，研究结果可能不适用于其他人群。
