The association of Multidisciplinary Heart failure clinic with heart failure hospitalization in Vachiraphuket hospital
Keywords:
Heart failure clinic, Heart failure hospitalizationAbstract
Background: Heart failure is cardiac syndromes which has a high morbidity and mortality rate, Previous study show Multidisciplinary heart failure clinic can reduce re-hospitalization and improve quality of life.
Objective: To study the outcome of Heart failure clinic in Vachiraphuket hospital
Method: A retrospective study followed hospitalized patient with congestive heart failure at least 2 times per year and Left ventricular systolic dysfunction (LVEF < 40%) in heart failure clinic of Vachiraphuket hospital from 14 Feb 2018 to 31 August 2019
Results: 22 patients were enrolled with mean age of years (mean age 59 ± 14 year), 72% were male, Underlying disease were Dyslipidemia 50%, Hypertension (HT) 36.4%, Diabetes mellitus (DM) 31.8%, Multidisciplinary heart failure clinic consisted of comprehensive optimal medical treatment and non-pharmacological approach (dietary restriction, daily fluid intake, weight monitoring, exercise). One year Heart failure hospitalization significantly decrease from 52 admission (mean 2.36 event / year) to 18 admission (mean 0.86 event / year) P = 0.003 after heart failure clinic visiting. Mean Left ventricular ejection fraction improve from 27.6% to 41.6% (p= 0.04). Heart failure symptom (functional class) improve from NYHA class II to class I from 5 to 23% and cardiac performance (6-min walk test) trend to improve from 308 meters to 337 meters (p = 0.54)
Conclusion : Multidisciplinary care team in heart failure clinic significantly reduced hospital readmission and improved cardiac function and quality of life
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