Supervivencia de pacientes con insuficiencia cardiaca en atención primaria

Sarría‐Santamera, Antonio; Prado-Galbarro, Francisco Javier; Martín-Martínez, María Auxiliadora; Carmona, Rocı́o; Gamiño-Arroyo, Ana Estela; Sánchez-Piedra, Carlos; Elustondo, S. Garrido; González, Isabel del Cura

doi:10.1016/j.aprim.2014.03.017

Cited by 9 publications

(11 citation statements)

References 39 publications

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“…5 This syndrome is associated with an unfavourable prognosis, given that 50% to 65% of patients with HF die within 5 years of diagnosis. 6,7 Furthermore, the presence of comorbidities, such as arterial hypertension, diabetes mellitus, and hypercholesterolaemia, are considered detrimental factors for this syndrome. 8 In addition, patients with HF usually require assistance in their everyday activities, as the disease significantly affects their work environment, as well as emotional, sexual, and social status.…”

Section: Introductionmentioning

confidence: 99%

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The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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Aims We aim to agree on a set of proposals to improve the current management of heart failure (HF) within the Spanish National Health System (SNHS) and apply the social return on investment (SROI) method to measure the social impact that these proposals would generate. Methods and results A multidisciplinary working team of 16 experts was set up, with representation from the main stakeholders regarding HF: medical specialists (cardiologists, internal medicine physicians, general practitioners, and geriatric physicians), nursing professionals, health management professionals, patients, and informal caregivers. This team established a set of proposals to improve the management of HF according to the main areas of HF care: emergency and hospitalization, primary care, cardiology, and internal medicine. A forecast‐type SROI method, with a 1‐year time frame, was applied to measure the social impact resulting from the implementation of these proposals. The required investment and social return were estimated and summarized into a ratio indicating how much social return could be generated for each euro invested. Intangible returns were included and quantified through financial proxies. The approach to improve the management of HF consisted of 28 proposals, including the implementation of a case management nurse network, standardization of operational protocols, psychological support, availability of echocardiography machines at emergency departments, stationary units and primary care, early specialist visits after hospital discharge, and cardiac rehabilitation units, among others. These proposals would benefit not only patients and their informal caregivers but also the SNHS. Regarding patients, proposals would increase their autonomy in everyday activities, decrease anxiety, increase psychological and physical well‐being, improve pharmacological adherence and self‐care, enhance understanding of the disease, delay disease progression, expedite medical assessment, and prevent the decrease in work productivity associated with HF management. Regarding informal caregivers, proposals would increase their quality of life; improve their social, economic, and emotional well‐being; and reduce their care burden. The SNHS would benefit from shorter stays of HF patients at intensive care units and reduction of hospitalizations and admissions to emergency departments. The investment needed to implement these proposals would amount to €548m and yield a social return of €1932m, that is, €3.52 for each euro invested. Conclusions The current management of HF could be improved by a set of proposals that resulted in an overall positive social return, varying between areas of analysis. This may guide the allocation of healthcare resources and improve the quality of life of patients with HF.

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Section: Introductionmentioning

confidence: 99%

“…This syndrome is associated with an unfavourable prognosis, given that 50% to 65% of patients with HF die within 5 years of diagnosis . Furthermore, the presence of co‐morbidities, such as arterial hypertension, diabetes mellitus, and hypercholesterolaemia, are considered detrimental factors for this syndrome .…”

Section: Introductionmentioning

confidence: 99%

The social return on investment of a new approach to heart failure in theSpanish National Health System

et al. 2020

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“…Heart failure (HF) represents a serious public health problem due to the morbidity-mortality and use of health-care services associated with this disease. The diagnosis of HF is usually associated with aging, loss of quality of life, reduction of physical and mental activity, and high demand for health services 1,2 . HF is still a major cause of death with a prognosis that has been reported to be worse than some of the common cancers 3 .…”

Section: Introductionmentioning

confidence: 99%

Evaluación del efecto de las hospitalizaciones sobre mortalidad en pacientes con Insuficiencia cardíaca seguidos en atención primaria

Prado-Galbarro

Gamiño-Arroyo

Sánchez-Piedra

et al. 2019

ACM

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Background: Heart failure (HF) is a serious health-care problem. The aim of this study is to evaluate the effect of the first acute episode of decompensated HF that requires a hospitalization on the survival of newly diagnosed cases of HF with follow-up for 5 years in primary care (PC). Methods: This was a longitudinal observational study of a retrospective cohort of patients with information extracted from electronic medical records of PC. Incident cases of HF from 2006 to 2010 or until death were studied through a survival analysis with Kaplan-Meier and Cox proportional hazards multivariate regression, after applying the propensity score matching technique (PSM). Results: A total of 3061 new cases of HF were identified. The PSM analysis was performed with 529 couples, with a total of 1058 patients. 5-year survival was 65% in no hospitalized and 53% in hospitalized patients. Factors with an increased risk of mortality were having prescribed nitrates (heart rate [HR] = 1.56;. Factors with protective effect were having received the annual influenza vaccine (HR = 0.04; 0.01-0.15) and having been indicated X-rays by PC physician (HR = 0.76;. Conclusions: The findings indicate that hospitalizations are associated with a significant increase in mortality in patients recently diagnosed with HF. It is important to reinforce the need for the prevention of acute decompensated HF and for strategies to improve post-discharge outcomes.

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“…Hemos leído con interés el artículo realizado por Sarría-Santamera et al 1 , sobre la supervivencia de los pacientes con insuficiencia cardiaca (IC) en atención primaria. En relación con el citado trabajo, nos gustaría realizar un comentario respecto a los resultados de mortalidad obtenidos.…”

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Diferencias en la supervivencia en pacientes con insuficiencia cardiaca

Arbé

Bustillos²,

Rizzi

et al. 2016

Atención Primaria

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Supervivencia de pacientes con insuficiencia cardiaca en atención primaria

Abstract: Data from patients with HF followed up in PC indicate that their survival is better than that obtained in other countries, supporting the argument of a better evolution of HF in Mediterranean countries.

Cited by 9 publications

References 39 publications

The social return on investment of a new approach to heart failure in theSpanish National Health System

The social return on investment of a new approach to heart failure in theSpanish National Health System

Evaluación del efecto de las hospitalizaciones sobre mortalidad en pacientes con Insuficiencia cardíaca seguidos en atención primaria

Diferencias en la supervivencia en pacientes con insuficiencia cardiaca

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