Late In-Hospital Management of Patients Hospitalized with Acute Heart Failure

Nicole B Cyrille; Snehal R Patel

doi:10.1016/j.pcad.2017.05.003

Late In-Hospital Management of Patients Hospitalized with Acute Heart Failure

Prog Cardiovasc Dis. 2017 Sep-Oct;60(2):198-204. doi: 10.1016/j.pcad.2017.05.003. Epub 2017 May 10.

Authors

Nicole B Cyrille¹, Snehal R Patel²

Affiliations

¹ Department of Medicine, Division of Cardiology, Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, NY.
² Department of Medicine, Division of Cardiology, Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, NY. Electronic address: snepatel@montefiore.org.

PMID: 28501337
DOI: 10.1016/j.pcad.2017.05.003

Abstract

Acute Heart Failure (AHF) hospitalization presents a significant financial burden and portends a poor prognosis following discharge. As such, there has been significant emphasis on the late inpatient management of patients hospitalized with AHF to ensure successful transition to the outpatient setting and to reduce overall readmission and mortality rates. Thorough discharge planning and a multidisciplinary team approach are essential and as outlined in this review should focus on four key elements: the assessment of patients' readiness for discharge, optimization of goal directed medical therapy and appropriate device therapy, patient education and transition to the outpatient care.

Keywords: Acute heart failure; Discharge; Late management; Patient education; Transition.

Publication types

Review

MeSH terms

Acute Disease
Health Knowledge, Attitudes, Practice
Heart Failure / diagnosis
Heart Failure / physiopathology
Heart Failure / therapy*
Humans
Patient Admission*
Patient Discharge
Patient Education as Topic
Patient Readmission
Patient Selection
Patient Transfer
Risk Factors
Self Care
Time Factors
Treatment Outcome