新作坊

Hospital-to-Community Integrated Pathways for Heart Failure: critical aspects and future prospectives

摘要：

Until 2012 all of the patients were enrolled by the Chronic Patient Heart Clinic. Since January 2013, 173 patients (7.8%; 479 visits, 2.8/pt) with advanced HF, frailty and/or multiple comorbidities (68% males; mean age 76±9; 68% NYHA 3-4; 59% LVEF< 40%; 53% in atrial fibrillation; 92% undergoing therapy with at least 5 drugs; 45% with Charlson Index> 5; 36% with at least one missing BADL, 77% with at least one IADL) were enrolled in the Advanced HF Clinic, an inter-disciplinary, supportive and palliative care team which works in close ...