Practical outpatient management of worsening chronic heart failure

Management of worsening heart failure (WHF) has traditionally been hospital-based, but with the rising burden of heart failure (HF), the pressure on healthcare systems exerted by this disease necessitates a different strategy than long (and costly) hospital stays. A strategy for outpatient intraveno...

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Authors: Girerd, Nicolas|||0000-0002-3278-2057, Mewton, Nathan, Tartière, Jean-Michel, Guijarro, Damien, Jourdain, Patrick, Damy, Thibaud, Lamblin, Nicolas, Bayés-Genís, Antoni|||0000-0002-3044-197X, Pellicori, Pierpaolo, Januzzi, James L., Rossignol, Patrick, Roubille, François
Format: article
Publication Date:2022
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:282712
Online Access:https://ddd.uab.cat/record/282712
https://dx.doi.org/urn:doi:10.1002/ejhf.2503
Access Level:Open access
Keyword:Ambulatory management
Cardiac congestion
Cardiovascular diseases
Diuretics
Heart failure
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spelling Practical outpatient management of worsening chronic heart failureGirerd, Nicolas|||0000-0002-3278-2057Mewton, NathanTartière, Jean-MichelGuijarro, DamienJourdain, PatrickDamy, ThibaudLamblin, NicolasBayés-Genís, Antoni|||0000-0002-3044-197XPellicori, PierpaoloJanuzzi, James L.Rossignol, PatrickRoubille, FrançoisAmbulatory managementCardiac congestionCardiovascular diseasesDiureticsHeart failureManagement of worsening heart failure (WHF) has traditionally been hospital-based, but with the rising burden of heart failure (HF), the pressure on healthcare systems exerted by this disease necessitates a different strategy than long (and costly) hospital stays. A strategy for outpatient intravenous (IV) diuretic treatment of WHF has been developed in certain American centres in the past 10 years, whereas European centres have been mostly favouring 'classic' in-hospital management of WHF. Embracing novel, outpatient approaches for treating WHF could substantially reduce the burden on healthcare systems while improving patient's satisfaction and quality of life. The present article is intended to provide essential knowledge and practical guidelines aimed at helping clinicians implement these new ambulatory approaches using day hospital and/or at-home hospitalization. The topics addressed by our group of HF experts include the pathophysiological background of diuretic therapy, the most suitable profile of WHF that may be managed in an ambulatory setting, the pharmacological protocols that can be used, as well as a detailed description of healthcare structures that can be proposed to deliver these ambulatory care interventions. The practical aspects of day hospital and hospital-at-home IV diuretic administration are specifically emphasized. The algorithm provided along with the practical IV diuretic protocols should assist HF clinicians in implementing this new approach in their local clinical setting.Universitat Autònoma de Barcelona 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/282712https://dx.doi.org/urn:doi:10.1002/ejhf.2503reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2827122026-06-06T12:50:31Z
dc.title.none.fl_str_mv Practical outpatient management of worsening chronic heart failure
title Practical outpatient management of worsening chronic heart failure
spellingShingle Practical outpatient management of worsening chronic heart failure
Girerd, Nicolas|||0000-0002-3278-2057
Ambulatory management
Cardiac congestion
Cardiovascular diseases
Diuretics
Heart failure
title_short Practical outpatient management of worsening chronic heart failure
title_full Practical outpatient management of worsening chronic heart failure
title_fullStr Practical outpatient management of worsening chronic heart failure
title_full_unstemmed Practical outpatient management of worsening chronic heart failure
title_sort Practical outpatient management of worsening chronic heart failure
dc.creator.none.fl_str_mv Girerd, Nicolas|||0000-0002-3278-2057
Mewton, Nathan
Tartière, Jean-Michel
Guijarro, Damien
Jourdain, Patrick
Damy, Thibaud
Lamblin, Nicolas
Bayés-Genís, Antoni|||0000-0002-3044-197X
Pellicori, Pierpaolo
Januzzi, James L.
Rossignol, Patrick
Roubille, François
author Girerd, Nicolas|||0000-0002-3278-2057
author_facet Girerd, Nicolas|||0000-0002-3278-2057
Mewton, Nathan
Tartière, Jean-Michel
Guijarro, Damien
Jourdain, Patrick
Damy, Thibaud
Lamblin, Nicolas
Bayés-Genís, Antoni|||0000-0002-3044-197X
Pellicori, Pierpaolo
Januzzi, James L.
Rossignol, Patrick
Roubille, François
author_role author
author2 Mewton, Nathan
Tartière, Jean-Michel
Guijarro, Damien
Jourdain, Patrick
Damy, Thibaud
Lamblin, Nicolas
Bayés-Genís, Antoni|||0000-0002-3044-197X
Pellicori, Pierpaolo
Januzzi, James L.
Rossignol, Patrick
Roubille, François
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Ambulatory management
Cardiac congestion
Cardiovascular diseases
Diuretics
Heart failure
topic Ambulatory management
Cardiac congestion
Cardiovascular diseases
Diuretics
Heart failure
description Management of worsening heart failure (WHF) has traditionally been hospital-based, but with the rising burden of heart failure (HF), the pressure on healthcare systems exerted by this disease necessitates a different strategy than long (and costly) hospital stays. A strategy for outpatient intravenous (IV) diuretic treatment of WHF has been developed in certain American centres in the past 10 years, whereas European centres have been mostly favouring 'classic' in-hospital management of WHF. Embracing novel, outpatient approaches for treating WHF could substantially reduce the burden on healthcare systems while improving patient's satisfaction and quality of life. The present article is intended to provide essential knowledge and practical guidelines aimed at helping clinicians implement these new ambulatory approaches using day hospital and/or at-home hospitalization. The topics addressed by our group of HF experts include the pathophysiological background of diuretic therapy, the most suitable profile of WHF that may be managed in an ambulatory setting, the pharmacological protocols that can be used, as well as a detailed description of healthcare structures that can be proposed to deliver these ambulatory care interventions. The practical aspects of day hospital and hospital-at-home IV diuretic administration are specifically emphasized. The algorithm provided along with the practical IV diuretic protocols should assist HF clinicians in implementing this new approach in their local clinical setting.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/282712
https://dx.doi.org/urn:doi:10.1002/ejhf.2503
url https://ddd.uab.cat/record/282712
https://dx.doi.org/urn:doi:10.1002/ejhf.2503
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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