Cuccurullo, O

Musca, G

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G Musca

O Cuccurullo

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Chronic Heart Failure management program

MEETING ABSTRACT Open Access
Chronic Heart Failure management program
G Musca*, O Cuccurullo
From de Senectute: Age and Health Forum
Catanzaro, Italy. 5-7 December 2009
Background
Chronic Heart Failure (CHF) is one of the most remark-
able health problems because of its prevalence (up tol
2% in west countries), morbidity and mortality. CHF is a
disease of the elderly: approximately 80% of the patients
hospitalized with CHF are more than 65 years old. CHF
has a strong impact in terms of social and economic
effects: very frequent hospital admissions and a signifi-
cant increase of medical costs.
CHF elderly patients demand an effective and inte-
grated disease management program, because in these
patients the following are present: Poor self-care, High
prevalence of comorbidities (COPD, diabetes,hyperten-
sion, anaemia, renal dysfunction, cancer), High preva-
lence of diastolic heart failure, Polypharmacy, Physical
and cognitive limitations (Difficult transfers to the hos-
pital), Inadequate social support and social isolation,
Depression and anxiety, High incidence of precipitating
factors, Poor education, Poor compliance to therapy
(pharmacological and not), Need of frequent reassess-
ments [1].
Management program [2,3]
Elderly patients with concomitant diseases (the patient
himself and his family are considered as active users)
Personnel Multidisciplinary team providing specialized
follow-up: Nurse (responsible for education and follow-
up), Specialist (internist, geriatrician, cardiologist), Dieti-
cian, psychologist, social assistant.
Primary care physician: Telephone follow-up and
improved communication
Methods: Home assistance, improved communication
(Easy and frequent telephonic contacts)
Interventions: Patients and family education, Diet
counseling, Therapy adjustment, Increase in compliance
to diet and therapy, Intensive follow-up for early detec-
tion and treatment, Episodes of WHF, Concomitant
diseases (e.g. infections).
Aims: Reduction in the incidence of hospitalizations,
Improvement in the clinical course/quality of life,
Reduction in management costs.
Published: 19 May 2010
References
1. Cuccurullo O, Musca F, Musca G: Scompenso cardiaco congestizio:
frequenza e valore prognostico delle cause precipitanti. “Cuore Amico”
Periodico di informazione e divulgazione scientifica di Cardiologia Riabilitativa
e Preventiva. 2005, 1.
2. Musca F, Cauteruccio MA, Cuccurullo O, D’Alessandro A, Donadio D,
Musca G: Integrated Pilot Study (IPS). alla ricerca di un modello efficace
per la gestione del malato con S.C.C. Progetto Pilota Integrato con un
Gruppo di Medici di Medicina Generale;. “Cuore Amico” Periodico di
informazione e divulgazione scientifica di Cardiologia Riabilitativa e Preventiva.
2005, 1.
3. Consensus Conference: Il percorso assistenziale del paziente con
scompenso cardiaco. Giornale Italiano di Cardiologia 2006, 7:383-432.
doi:10.1186/1471-2318-10-S1-A86
Cite this article as: Musca and Cuccurullo: Chronic Heart Failure
management program. BMC Geriatrics 2010 10(Suppl 1):A86.
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UO Medicina Interna, ASP Cosenza, Presidio Ospedaliero di Cetraro, Italy
Musca and Cuccurullo BMC Geriatrics 2010, 10(Suppl 1):A86
http://www.biomedcentral.com/1471-2318/10/S1/A86
© 2010 Musca and Cuccurullo; licensee BioMed Central Ltd.


Conference: Il percorso assistenziale del paziente con scompenso cardiaco. Giornale Italiano di Cardiologia

Scompenso cardiaco congestizio: frequenza e valore prognostico delle cause precipitanti. “Cuore Amico” Periodico di informazione e divulgazione scientifica di Cardiologia Riabilitativa e Preventiva.

Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3290233

Chronic Heart Failure management program

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