Analisi del processo decisionale del trattamento farmacologico nel paziente con scompenso cardiaco cronico attraverso un sistema informatizzato di gestione della terapia: Esperienza dell'unita per lo scompenso cardiaco di Montescano

Translated title of the contribution: Computer-based management and decision-making in the pharmacological treatment of patients with chronic heart failure: Experience of the heart- failure unit of Montescano

Cristina Opasich, Gian Domenico Pinna, Massimo Sisti, Oreste Febo, P. Giorgio Riccardi, Soccorso Capomolla, Antonio Tangenti, Leonardo Perinati, Franco Cobelli, Luigi Tavazzi

Research output: Contribution to journalArticle

Abstract

A computer-based system integrated into the hospital information system for the pharmacological management of the chronic heart-failure patients admitted to the heart-failure unit of Montescano is presented. The major aims of the system involved monitoring the patients' treatment history and the related therapeutic decision-making. The treatment history of the first 151 consecutive CHF patients admitted after the system implementation is examined. The prescribed drug doses at admission and at discharge are compared, as well as the differences in etiology and NYHA class between patients discharged with or without each drug. Several considerations can be drawn from this analysis. First of all, in heart failure patients the choice of drugs is limited and optimal treatment is a result of individualized dosages. Secondly, time and trials are necessary to obtain optimal treatment. Consequently, continuity of care and in- and out-hospital networks are advisable. Third, a computer-based system offers advantages not only for the pharmacological management itself, but also for improving the quality of care through continuous analysis of the decision-making process.

Translated title of the contributionComputer-based management and decision-making in the pharmacological treatment of patients with chronic heart failure: Experience of the heart- failure unit of Montescano
Original languageItalian
Pages (from-to)1278-1287
Number of pages10
JournalGiornale Italiano di Cardiologia
Volume28
Issue number11
Publication statusPublished - Nov 1998

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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