Eficacia de un programa de intervención multidisciplinar en la evolución de pacientes ancianos con insuficiencia cardiaca

Résumé

Heart failure (HF) leads to frequent hospital readmissions. The use of a multidisciplinary team approach model for HF care, improves symptoms and reduces readmissions and is a Class I recommendation. Most of these programs are run by cardiology services and include patients of younger age, with little comorbidity. However, a large proportion of HF patients are elderly with high comorbidity, functional decline, and cared by internists, geriatricians and primary care with little integration with the disease management programs (DMP). It is not clear which (DPM) model is superior and it is little known about models run by internists and geriatricians in older patients with multiple comorbidities and not selected for HF etiology and ejection fraction. Anemia is prevalent in elderly patients with Heart failure (HF) and is associated with increased morbidity and mortality. However, the effect of anemia correction on survival has not been well studied...