Moving from heart failure guidelines to clinical practice: gaps contributing to readmissions in patients with multiple comorbidities and older age

Iyngkaran, Pupalan, Liew, Danny, Neil, Christopher, Driscoll, Andrea, Marwick, Thomas H. and Hare, David L. 2018, Moving from heart failure guidelines to clinical practice: gaps contributing to readmissions in patients with multiple comorbidities and older age, Clinical medicine insights: cardiology, vol. 12, doi: 10.1177/1179546818809358.

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Title Moving from heart failure guidelines to clinical practice: gaps contributing to readmissions in patients with multiple comorbidities and older age
Author(s) Iyngkaran, Pupalan
Liew, Danny
Neil, Christopher
Driscoll, AndreaORCID iD for Driscoll, Andrea orcid.org/0000-0002-6837-0249
Marwick, Thomas H.
Hare, David L.
Journal name Clinical medicine insights: cardiology
Volume number 12
Total pages 13
Publisher Sage Publications
Place of publication London, Eng.
Publication date 2018-12
ISSN 1179-5468
Keyword(s) comorbidity
elderly
geriatric
readmissions
translating guidelines
translational research
Summary This feature article for the thematic series on congestive heart failure (CHF) readmissions aims to outline important gaps in guidelines for patients with multiple comorbidities and the elderly. Congestive heart failure diagnosis manifests as a 3-phase journey between the hospital and community, during acute, chronic stable, and end-of-life (palliative) phases. This journey requires in variable intensities a combination of multidisciplinary care within tertiary hospital or ambulatory care from hospital outpatients or primary health services, within the general community. Management goals are uniform, ie, to achieve the lowest New York Heart Association class possible, with improvement in ejection fraction, by delivering gold standard therapies within a CHF program. Comorbidities are an important common denominator that influences outcomes. Comorbidities include diabetes mellitus, chronic obstructive airways disease, chronic renal impairment, hypertension, obesity, sleep apnea, and advancing age. Geriatric care includes the latter as well as syndromes such as frailty, falls, incontinence, and confusion. Many systems still fail to comprehensively achieve all aspects of such programs. This review explores these factors.
Language eng
DOI 10.1177/1179546818809358
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30117262

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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