Archivos peruanos de cardiologia y cirugia cardiovascular · 2024
A heart failure program in low-income patients in Argentina (COMM-HF).
СтатьяНазвание и аннотация: Перевод в очереди
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Poggio Rosana, Ortiz Lucia Marianela, Rivadulla Natalia, Martínez María José, Burgos Lucrecia María, Gutiérrez Laura, Mariani Javier, Lopez-Lopez José P, Chuquiure-Valenzuela Eduardo, Jobe Modou, Awotidebe Taofeek, Banerjee Amitava, Cursack Guillermo, Babu Abraham Samuel, Irazola Vilma, Brunialti Juan Martín, Maydana Mariano, Echazarreta Diego Federico
Аннотация
OBJECTIVE: In low- and middle-income countries, heart failure (HF) is the leading cause of death and disability.
MATERIALS AND METHODS: A feasibility study was conducted to assess the fidelity, reach, and adoption of an educational program led by non-medical staff to improve outpatient care for patients hospitalized with HF in the local public health system.
RESULTS: Thirty patients were included, with a mean age of 55.3 years (63.3% male). A total of 97.3% of planned home visits and 90% of scheduled phone calls were completed. Counselling modules were delivered during 90.4% of home visits, with no significant challenges reported during implementation. At the end of follow-up, there was a trend towards improved lifestyle habits, a reduction in mean heart rate (78.0 to 68.3 beats per minute; p = 0.016), a decrease in the proportion of patients in NYHA functional class III (20% to 7.4%; p = 0.041), and a slight reduction in mean body mass index (29.5 vs. 28.9; p = 0.042).
CONCLUSIONS: A home-based educational program, designed to optimize outpatient management of heart failure and led by non-medical healthcare personnel, was well-received and demonstrated feasibility for implementation in low-income patients relying solely on the Argentine public health system.
MATERIALS AND METHODS: A feasibility study was conducted to assess the fidelity, reach, and adoption of an educational program led by non-medical staff to improve outpatient care for patients hospitalized with HF in the local public health system.
RESULTS: Thirty patients were included, with a mean age of 55.3 years (63.3% male). A total of 97.3% of planned home visits and 90% of scheduled phone calls were completed. Counselling modules were delivered during 90.4% of home visits, with no significant challenges reported during implementation. At the end of follow-up, there was a trend towards improved lifestyle habits, a reduction in mean heart rate (78.0 to 68.3 beats per minute; p = 0.016), a decrease in the proportion of patients in NYHA functional class III (20% to 7.4%; p = 0.041), and a slight reduction in mean body mass index (29.5 vs. 28.9; p = 0.042).
CONCLUSIONS: A home-based educational program, designed to optimize outpatient management of heart failure and led by non-medical healthcare personnel, was well-received and demonstrated feasibility for implementation in low-income patients relying solely on the Argentine public health system.