scholarly journals Appropriateness rating for the application of optimal medical therapy and multidisciplinary care among heart failure patients

2020 ◽  
Author(s):  
Satoshi Shoji ◽  
Shun Kohsaka ◽  
Yasuyuki Shiraishi ◽  
Shogo Oishi ◽  
Mahoto Kato ◽  
...  
2017 ◽  
Vol 25 (4) ◽  
pp. 1164-1171
Author(s):  
Torstein Valborgland ◽  
Kjetil Isaksen ◽  
Peter Scott Munk ◽  
Zbigniew Piotr Grabowski ◽  
Alf Inge Larsen

2019 ◽  
Vol 73 (9) ◽  
pp. 45
Author(s):  
Pedro Silvio Farsky ◽  
Jennifer White ◽  
Carla Sueta ◽  
Rafal Dabrowski ◽  
Ljubomir Djokovic ◽  
...  

2020 ◽  
pp. 1-8
Author(s):  
Priya Wanchoo ◽  
Ellen L. Cohen ◽  
Kathleen Donnelly-Bensalah ◽  
Katherine E. Stone ◽  
Margot Embree Fisher ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 3046
Author(s):  
Varinder Randhawa ◽  
Luciane West ◽  
Sanjeeb Bhattacharya ◽  
Daniel A. Lewis ◽  
Maria Mountis ◽  
...  

2020 ◽  
Vol 15 (9) ◽  
pp. 1-9
Author(s):  
Marianne O'Hara ◽  
Amanda Smith ◽  
Emma Foster ◽  
Stephen J Leslie

Introduction: This project aimed to assess and optimise the treatment of all patients with heart failure with reduced ejection fraction (HFrEF). Methods: Consecutive patients discharged with a heart failure code (ICD-10) between April 2014 and July 2017 were included. The medical records were reviewed to ensure optimal medical therapy and in cases where this was not being received, a process of ‘active optimisation’ was initiated. Results: Out of 656 patients, 139 were identified as eligible for guideline-directed treatment, 129 (93%) of which were receiving optimal medical therapy. Of these, 47 (36%) were deemed to be optimised but were not on full guideline-directed therapy owing to contraindication, intolerance, comorbidities or non-compliance. Conclusion: The project data reflect real-world patients and practice and highlight a tension between guideline-based care and real-life (realistic) medicine.


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