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Page 36
Volume 5
Journal of Current Research: Cardiology
Heart Congress 2018
November 21-22, 2018
2
nd
Global Heart Congress
November 21-22, 2018 Osaka, Japan
Heart failure: Management failures, who is to be blamed?
Syed Raza
Awali Hospital, Bahrain
H
eart Failure (HF) remains a major public health problem that has high incidence and prevalence globally. It is the leading cause
of hospitalization for people of 65 years of age and older and rates of hospital readmission within 6 months range from 25% to
50%. The personal burden of HF includes debilitating symptoms, frequent re-hospitalizations and high rates of mortality. HF also
poses a substantial economic burden, with annual direct costs for the care of HF patients estimated to be between $20 billion and $56
billion. A number of studies have documented marked variation in the quality of care judged by specific performance measures and
substantial underuse of evidence-based, guideline-recommended, HF therapies in patients receiving conventional care. Moreover,
patient behavioral factors (such as non-adherence to diet and medications) and economic and social factors frequently contribute
to re-hospitalizations. The traditional model of care delivery is thought to contribute to frequent hospitalizations because in these
brief episodic encounters, little attention may be paid to the common modifiable factors that precipitate many hospitalizations.
Patient education, discharge plan, follows up and management at community level are variable and sub-optimal. Limited or poor
patient participation and involvement in self-care is also a major factor in leading to poor outcome in HF. As such, there has been
much interest in identifying effective methods to improve the quality of care for HF patients while reducing costs. An effective
management strategy and a balanced approach is the much needed.
Syed.raza621@gmail.comCurr Res Cardiol 2018, Volume 5
DOI: 10.4172/2368-0512-C1-003