Team-Based Care for Managing Noncardiac Conditions in Patients with Heart Failure

Vader, Justin; Rich, Michael W.

doi:10.1016/j.hfc.2015.03.006

Cited by 9 publications

(5 citation statements)

References 81 publications

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“…CHF is considered a healthcare issue in developed countries [9] and is often associated with relevant cardiac and non-cardiac comorbidities leading to several clinical characteristics common to geriatric patients (comorbidity, polypharmacy, disability). Thus, despite continuous advances in therapy, CHF morbidity and mortality remain high [12]. In accordance with the fact that CHF is often present in subjects with multiple cardiac and non-cardiac comorbidities [8], in our sample the prevalence of isolated CHF was 3.5%.…”

Section: Chf and Mortality In The Elderlysupporting

confidence: 76%

“…CHF is highly prevalent in aging populations worldwide in individuals aged >80 years [12]. CHF is considered a healthcare issue in developed countries [9] and is often associated with relevant cardiac and non-cardiac comorbidities leading to several clinical characteristics common to geriatric patients (comorbidity, polypharmacy, disability).…”

Section: Chf and Mortality In The Elderlymentioning

confidence: 99%

“…It represents the end stage in the cardiovascular disease (CVD) continuum, particularly of coronary heart disease and hypertension [9,10]. Despite continuous advances in the management of CHF patients, CHF morbidity and mortality remain high and are substantially affected by cardiac and non-cardiac comorbidity, especially in elderly patients [11,12].…”

Section: Introductionmentioning

confidence: 99%

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Chronic obstructive pulmonary disease and long-term mortality in elderly subjects with chronic heart failure

et al. 2017

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Multivariate analysis indicates that CHF (Hazard risk = 1.67, 95% confidence interval 1.15-3.27, p < 0.031) and COPD (Hazard risk = 1.27, 95% confidence interval = 1.08-1.85, p < 0.042) were predictive of longterm mortality. When CHF and COPD simultaneously occurred, the risk dramatically increased up to 3.73 (95% confidence interval = 1.19-6.93, p < 0.001). Conclusions Long-term follow-up showed higher mortality among elderly subjects affected by CHF or COPD. Simultaneous presence of CHF and COPD significantly increased the risk of death. Therefore, the presence of COPD in CHF patients should be considered a relevant factor in predicting high risk of mortality.

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Section: Chf and Mortality In The Elderlysupporting

confidence: 76%

Section: Chf and Mortality In The Elderlymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Chronic obstructive pulmonary disease and long-term mortality in elderly subjects with chronic heart failure

et al. 2017

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“…Because of the complexity of HF management and coordination of other health and social services required, HF care is ideally provided by multidisciplinary teams 27–30 that include cardiologists, nurses, and pharmacists who specialize in HF as well as dieticians, mental health clinicians, social workers, primary care clinicians, and additional specialists. 31–33 Self-care in HF comprises treatment adherence and health maintenance behaviors.…”

Section: Stage C Hfmentioning

confidence: 99%

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

et al. 2022

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Aim: The “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure” replaces the “2013 ACCF/AHA Guideline for the Management of Heart Failure” and the “2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure.” The 2022 guideline is intended to provide patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure. Methods: A comprehensive literature search was conducted from May 2020 to December 2020, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from MEDLINE (PubMed), EMBASE, the Cochrane Collaboration, the Agency for Healthcare Research and Quality, and other relevant databases. Additional relevant clinical trials and research studies, published through September 2021, were also considered. This guideline was harmonized with other American Heart Association/American College of Cardiology guidelines published through December 2021. Structure: Heart failure remains a leading cause of morbidity and mortality globally. The 2022 heart failure guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with heart failure, with the intent to improve quality of care and align with patients’ interests. Many recommendations from the earlier heart failure guidelines have been updated with new evidence, and new recommendations have been created when supported by published data. Value statements are provided for certain treatments with high-quality published economic analyses.

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“…50 Frequently, the initial, sometimes lifesaving, interventions do not demand a multidisciplinary team meeting, however, following stabilisation and when planning ongoing care, the wider multidisciplinary and multiprofessional team will be required to plan, coordinate and manage a patient’s care. 51 Typically specialists who collaborate on a regular basis with the ICCU team are cardiovascular surgeons, cardiovascular anaesthesiologists, critical care physicians, nephrologists, infectious disease specialists, clinical pharmacologists, palliative care teams and emergency physicians for the pre-cardiology part of patients’ management, 52,53 but, depending on patient requirement, other allied healthcare professionals will be key to providing and directing ongoing care.…”

Section: ) Iccus and Interaction With Other Specialtiesmentioning

confidence: 99%

Editor’s Choice - Acute Cardiovascular Care Association Position Paper on Intensive Cardiovascular Care Units: An update on their definition, structure, organisation and function

Bonnefoy‐Cudraz

Bueno²,

Casella

et al. 2017

European Heart Journal: Acute Cardiovascular Care

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Acute cardiovascular care has progressed considerably since the last position paper was published 10 years ago. It is now a well-defined, complex field with demanding multidisciplinary teamworking. The Acute Cardiovascular Care Association has provided this update of the 2005 position paper on acute cardiovascular care organisation, using a multinational working group. The patient population has changed, and intensive cardiovascular care units now manage a large range of conditions from those simply requiring specialised monitoring, to critical cardiovascular diseases with associated multi-organ failure. To describe better intensive cardiovascular care units case mix, acuity of care has been divided into three levels, and then defining intensive cardiovascular care unit functional organisation. For each level of intensive cardiovascular care unit, this document presents the aims of the units, the recommended management structure, the optimal number of staff, the need for specially trained cardiologists and cardiovascular nurses, the desired equipment and architecture, and the interaction with other departments in the hospital and other intensive cardiovascular care units in the region/area. This update emphasises cardiologist training, referring to the recently updated Acute Cardiovascular Care Association core curriculum on acute cardiovascular care. The training of nurses in acute cardiovascular care is additionally addressed. Intensive cardiovascular care unit expertise is not limited to within the unit's geographical boundaries, extending to different specialties and subspecialties of cardiology and other specialties in order to optimally manage the wide scope of acute cardiovascular conditions in frequently highly complex patients. This position paper therefore addresses the need for the inclusion of acute cardiac care and intensive cardiovascular care units within a hospital network, linking university medical centres, large community hospitals, and smaller hospitals with more limited capabilities.

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Team-Based Care for Managing Noncardiac Conditions in Patients with Heart Failure

Cited by 9 publications

References 81 publications

Chronic obstructive pulmonary disease and long-term mortality in elderly subjects with chronic heart failure

Chronic obstructive pulmonary disease and long-term mortality in elderly subjects with chronic heart failure

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Editor’s Choice - Acute Cardiovascular Care Association Position Paper on Intensive Cardiovascular Care Units: An update on their definition, structure, organisation and function

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