Continuità assistenziale nello scompenso cardiaco: Studio Pilota della Regione Toscana

Translated title of the contribution: Continuity of care in heart failure: Pilot study in the Tuscany Region

Francesco Mazzuoli, Gabriele Castelli, Carlo Nozzoli, Valerio Verdiani, Fabrizio Muscas, Massimo Mammucari, Gianluigi Condorelli, Giovanni Pecciarini, Ennio Sarli, Gian Franco Gensini, Tosco Alderighi, Gino Bacci, Michele Calderisi, Massimiliano Caroassai, Luigi Foppa, Alessandro Guerrini, Andrea Innocenti Degli, Giuseppe Paladino, Enzo Schirripa, Vincenzo TagliaferroEnzo Tattini, Antonio Tomai

Research output: Contribution to journalArticle

Abstract

Background. Heart failure (HF) is one of the leading causes of hospitalization and medical expenditure, especially in elderly patients. Cooperation between specialists and general practitioners may improve outcomes. A 1-year hospital-territory disease management program was designed in collaboration with the Tuscany Region and the Ministry of Health involving specialists, general practitioners and nurses to investigate the impact of our model on healthcare organization and hospitalization rates in patients with HF. Methods. The program used a web-based clinical report form, and monitoring of patients from specialists and nurses was coordinated by the general practitioners. We enrolled 106 patients (78.3% male, mean age 74.6 years), with a mean left ventricular ejection fraction 49% and mean Charlson index 2.2. Results. A statistically significant reduction was observed in the number of hospitalizations and emergency calls compared with the previous year. HF severity did not substantially changed in 69.8% of patients, whereas it improved in 17.0% and worsened in 13.2% (NYHA class). Conclusions. Our preliminary data suggest that cooperation between hospitals and medical systems in the territory by means of a web-based clinical report may result in better management of healthcare interventions in the territory with subsequent reduction of hospitalizations. An extension of this model is now ongoing for collecting data from different areas, both within and outside Tuscany.

Translated title of the contributionContinuity of care in heart failure: Pilot study in the Tuscany Region
Original languageItalian
Pages (from-to)615-621
Number of pages7
JournalGiornale Italiano di Cardiologia
Volume13
Issue number9
Publication statusPublished - Sep 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Mazzuoli, F., Castelli, G., Nozzoli, C., Verdiani, V., Muscas, F., Mammucari, M., Condorelli, G., Pecciarini, G., Sarli, E., Gensini, G. F., Alderighi, T., Bacci, G., Calderisi, M., Caroassai, M., Foppa, L., Guerrini, A., Degli, A. I., Paladino, G., Schirripa, E., ... Tomai, A. (2012). Continuità assistenziale nello scompenso cardiaco: Studio Pilota della Regione Toscana. Giornale Italiano di Cardiologia, 13(9), 615-621.