Benefits of a comprehensive care model in patients with heart failure and preserved ejection fraction: The UMIPIC program

Patients with heart failure (HF) and preserved ejection fraction (HFpEF), in contrast to those with reduced ejection fraction, are older, have more comorbidities, and are not candidates for effective therapeutic measures. Therefore, they are at high risk for hospital admission and mortality. This st...

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Bibliographic Details
Published in:Revista clínica espanõla (English edition) 2022-06, Vol.222 (6), p.339-347
Main Authors: Cerqueiro-González, J.M., González-Franco, Á., Carrascosa-García, S., Soler-Rangel, L., Ruiz-Laiglesia, F.J., Epelde-Gonzalo, F., Dávila-Ramos, M.F., Casado-Cerrada, J., Casariego-Vales, E., Manzano, L.
Format: Article
Language:English
Subjects:
Follow-up programs
Fracción de eyección preservada
Heart failure
Heart Failure - drug therapy
Heart Failure - etiology
Hospitalization
Humans
Insuficiencia cardíaca
Preserved ejection fraction
Prognosis
Programas de seguimiento
Pronóstico
Stroke Volume
Ventricular Function, Left
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Summary:Patients with heart failure (HF) and preserved ejection fraction (HFpEF), in contrast to those with reduced ejection fraction, are older, have more comorbidities, and are not candidates for effective therapeutic measures. Therefore, they are at high risk for hospital admission and mortality. This study evaluated the benefit of a comprehensive continuous care program (UMIPIC program) in patients with HFpEF. We prospectively analyzed data on 2401 patients with HFpEF attended to in internal medicine departments who form part of the RICA registry. They were divided into 2 groups: one was followed-up on in the UMIPIC program (UMIPIC group, n: 1011) and another received conventional care (RICA group, n: 1390). A total of 753 patients in each group were selected by propensity score matching and admissions and mortality were assessed during 12 months of follow-up after an episode of hospitalization due to HF. Compared to the RICA group, the UMIPIC group had a lower rate of HF admissions (19.2% versus 36.5%, respectively; hazard ratio [HR] = 0.56; 95% confidence interval [CI]: 0.45–0.68; p 
ISSN:2254-8874
2254-8874
DOI:10.1016/j.rceng.2021.11.006