Key result
Heart failure admissions face a >50% six-month event rate driven by comorbidities, congestion, and target-organ lesions.
Why the study?
Hospitalization rates in heart failure patients remain high despite new treatments that have decreased mortality, and the causes and strategies to reduce rehospitalization need to be better understood.
A multidisciplinary approach and evidence-based practices are essential to reduce the high rates of rehospitalization in heart failure patients, particularly during the vulnerable transition from inpatient to outpatient care.
High HF admission event rates demand better inpatient-to-outpatient transitions; leaves open optimal multidisciplinary components for prospective validation.
Heart failure is one of the most important and challenging public health problems of the 21st century and is associated with hard outcomes, such as death and hospitalization. New treatments for heart failure, despite the decrease in mortality, have not contributed to the decrease in hospitalization rates. Patients admitted with heart failure have a high event rate (> 50%) with a mortality rate between 10 and 15% and a rehospitalization rate within 6 months after discharge of 30 to 40%. Three major causes seem to directly affect the rehospitalization of patients with heart failure: comorbidities, congestion and target-organ lesion. The transition from inpatient to outpatient is a period of vulnerability, due to the progressive nature complexity of heart failure, with an impact on prognosis and which can extend for up to 6 months after hospital discharge. The physician has an important role in the actions that can minimize the risk of hospitalization for heart failure and the multidisciplinary approach, associated with the implementation of good practices supported by scientific evidence, can reduce the risk of hospitalization. The use of routines that have been proven to reduce hospitalization should be used in Brazilian hospitals. The objective of this review was to discuss the main causes of hospitalization, their impact on heart failure evolution and strategies that can be used to reduce it.
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Mesquita et al. (2016) conducted a review in Heart failure. Patients admitted with heart failure face a >50% event rate, including 10-15% mortality and 30-40% rehospitalization within 6 months, driven by comorbidities, congestion, and target-organ lesions.
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