The dilemma, causes and approaches to avoid recurrent hospital readmissions for patients with chronic heart failure

2011 ◽  
Vol 17 (3) ◽  
pp. 345-353 ◽  
Author(s):  
Melody Zaya ◽  
Anita Phan ◽  
Ernst R. Schwarz
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Hospital Readmissions

scholarly journals Exercise-Based Rehabilitation Delivery Models in Comorbid Chronic Pulmonary Disease and Chronic Heart Failure

2021 ◽  
Vol 8 ◽  
Author(s):  
Audrey Borghi-Silva ◽  
Adriana S. Garcia-Araújo ◽  
Eliane Winkermann ◽  
Flavia R. Caruso ◽  
Daniela Bassi-Dibai ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Pulmonary Disease ◽  
Exercise Capacity ◽  
Aging Process ◽  
Hospital Admissions ◽  
Negative Impact ◽  
Hospital Readmissions ◽  
Chronic Obstructive ◽  
Delivery Models

Among the most prevalent multimorbidities that accompany the aging process, chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) stand out, representing the main causes of hospital admissions in the world. The prevalence of COPD coexistence in patients with CHF is higher than in control subjects, given the common risk factors associated with a complex process of chronic diseases developing in the aging process. COPD-CHF coexistence confers a marked negative impact on mechanical-ventilatory, cardiocirculatory, autonomic, gas exchange, muscular, ventilatory, and cerebral blood flow, further impairing the reduced exercise capacity and health status of either condition alone. In this context, integrated approach to the cardiopulmonary based on pharmacological optimization and non-pharmacological treatment (i.e., exercise-based cardiopulmonary and metabolic rehabilitation) can be emphatically encouraged by health professionals as they are safe and well-tolerated, reducing hospital readmissions, morbidity, and mortality. This review aims to explore aerobic exercise, the cornerstone of cardiopulmonary and metabolic rehabilitation, resistance and inspiratory muscle training and exercise-based rehabilitation delivery models in patients with COPD-CHF multimorbidities across the continuum of the disease. In addition, the review address the importance of adjuncts to enhance exercise capacity in these patients, which may be used to optimize the gains obtained in these programs.

scholarly journals Cardiac rehabilitation in chronic heart failure

2016 ◽  
Vol 86 (1-2) ◽  
Author(s):  
Romualdo Belardinelli
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiac Rehabilitation ◽  
Functional Capacity ◽  
Diastolic Heart Failure ◽  
Therapeutic Option ◽  
Hospital Readmissions ◽  
Specific Stimulus ◽  
Number Of Patients ◽  
Clinical Benefits

<p>Chronic heart failure is a complex clinical syndrome characterized by multi-organ dysfunction and progressive functional deterioration. From the result of the literature, it is evident that the optimal care for heart failure is far from being reached, and exercise-based cardiac rehabilitation (Ex-CR) is a multidisciplinary therapeutic option with important clinical benefits. Longitudinal controlled studies and meta-analyses have demonstrated that Ex-CR improves functional capacity by 12-25%, and improves outcome by significantly decreasing hospital readmissions and cardiac mortality. These results have been obtained in patients with systolic dysfunction (HF-REF) with moderate aerobic endurance programs. More recently, greater improvements in functional capacity have been obtained even in older patients (&gt;75 years) with high intensity interval training, but the number of patients is too small at present to reach definitive conclusion, and follow up is lacking. In diastolic heart failure (HF-PEF) improvements in functional capacity have been described in a total of 282 patients, with similar results as HF-REF but no evidence on outcome. Ex-CR programs are safe with a very low number of cardiac arrest (1/300,000 patient/hour) in different trials. Clinical benefits are the result of central and peripheral adaptations induced by exercise, which acts as a trigger of protein synthesis by specific genes activated by it.  It is crucial to maintain a specific stimulus by repeating exercise bouts at least 2-3 times per week all life long, because after 2-3 weeks of inactivity functional adaptations disappear.</p>

I diuretici dell’ansa nella terapia di mantenimento del paziente con scompenso cardiaco

2004 ◽  
Vol 5 (3) ◽  
pp. 133-140
Author(s):  
Franco Cecchi
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiovascular Events ◽  
Beta Blockers ◽  
Hospital Readmissions ◽  
Loop Diuretics ◽  
Aldosterone Antagonists ◽  
Cardiovascular Morbidity And Mortality ◽  
Patients With Heart Failure

Diuretics are still a cornerstone of acute heart failure. Their role in chronic heart failure has recently been reconsidered, as Ace-inhibitors and Beta-blockers have been shown to be highly effective in reducing cardiovascular morbidity and mortality in patients with heart failure. Loop diuretics and aldosterone antagonists, however, are still used in chronic heart failure, at the lowest dose needed in order to mantain haemodynamic balance. The use of effective loop diuretics with longer half-lives and constant bioavailability may be beneficial, resulting in fewer hospital readmissions, both for congestive heart failure and all cardiovascular events, in improved quality of life and in health costs reduction.

scholarly journals An Article on Implementing Nurse Led Strategies to Prevent 30 Day Hospital Readmissions for Patients with Chronic Heart Failure

2016 ◽  
Vol 25 ◽  
pp. S96
Author(s):  
E. Scholes ◽  
D. Tsang ◽  
C. Neil ◽  
M. Hornstra ◽  
C. Zammit ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Hospital Readmissions ◽  
Day Hospital

scholarly journals Anger and depression predict hospital use among chronic heart failure patients

2009 ◽  
Vol 33 (4) ◽  
pp. 541 ◽  
Author(s):  
Roslyn C Jenner ◽  
Robert D Schweitzer ◽  
Esben S Strodl
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Length Of Stay ◽  
Medical Records ◽  
Hospital Readmissions ◽  
Illness Severity ◽  
Ageing Population ◽  
Health Profile ◽  
Heart Failure Patients ◽  
One Year

Costly hospital readmissions among chronic heart failure (CHF) patients are expected to increase dramatically with the ageing population. This study investigated the prognostic ability of depression, anger and anxiety, prospectively, and after adjusting for illness severity, on the number of readmissions to hospital and the total length of stay over one year. Participants comprised 175 inpatients with CHF. Depression, anger, anxiety, and illness severity were measured at baseline. One year later, the number of readmissions and length of stay for each patient were obtained from medical records. Depression and anger play a detrimental role in the health profile of CHF patients.

scholarly journals Evaluation of Unplanned Hospital Readmissions for Chronic Heart Failure

2013 ◽  
Vol 22 ◽  
pp. S76-S77
Author(s):  
M. Boyde ◽  
R. Peters ◽  
M. Weglowski ◽  
T. Ha ◽  
D. Korczyk
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Hospital Readmissions
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