Consensus for improving the comprehensive care of patients with acute heart failure: summarised version

N Manito Lorite; L Manzano Espinosa; P Llorens Soriano; J Masip Utset; J Comín Colet; F Formiga Pérez; P Herrero Puente; J Delgado Jiménez; M Montero-Pérez-Barquero; J Jacob Rodríguez; E López de Sá Areses; J I Pérez Calvo; F J Martín-Sánchez; Ò Miró Andreu

doi:10.1016/j.rce.2016.02.004

Consensus for improving the comprehensive care of patients with acute heart failure: summarised version

Rev Clin Esp (Barc). 2016 Jun-Jul;216(5):260-70. doi: 10.1016/j.rce.2016.02.004. Epub 2016 Apr 9.

[Article in English, Spanish]

Authors

Affiliations

¹ Servicio de Cardiología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. Electronic address: [email protected].
² Servicio de Medicina Interna, Hospital Universitario Ramón y Cajal, Madrid, España.
³ Servicio de Urgencias, Unidad de Corta Estancia, Hospital General de Alicante, Alicante, España.
⁴ Unidad de Cuidados Intensivos, Hospital Sant Joan Despí Moisès Broggi, Consorci Sanitari Integral, Universidad de Barcelona, Sant Joan Despí, Barcelona, España.
⁵ Servicio de Cardiología, Hospital del Mar (IMAS), Barcelona, España.
⁶ Servicio de Medicina Interna, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
⁷ Área de Urgencias, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
⁸ Servicio de Cardiología, Hospital Doce de Octubre, Madrid, España.
⁹ Medicina Interna, Hospital Universitario Reina Sofía, Córdoba, España.
¹⁰ Servicio de Urgencias, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
¹¹ Unidad de Cuidados Agudos Cardiológicos, Hospital Universitario La Paz, Madrid, España.
¹² Servicio de Medicina Interna, HCU Lozano Blesa, Zaragoza, España.
¹³ Servicio de Urgencia, Unidad de Corta Estancia, Hospital Clínico San Carlos, Madrid, España.
¹⁴ Área de Urgencias, Hospital Clínic, Barcelona, España.

PMID: 27066752
DOI: 10.1016/j.rce.2016.02.004

Abstract

The purpose of this consensus document was to reach an agreement among experts on the multidisciplinary care of patients with acute heart failure. Starting with a narrative review of the care provided to these patients and a critical analysis of the healthcare procedures, we identified potential shortcomings and improvements and formalised a document on recommendations for optimising the clinical and therapeutic approach for acute heart failure. This document was validated through an in-person group session guided using participatory techniques. The process resulted in a set of 36 recommendations formulated by experts of the Spanish Society of Cardiology, the Spanish Society of Internal Medicine and the Spanish Society of Urgent and Emergency Care. The recommendations are designed to optimise the healthcare challenge presented by the care of patients with acute heart failure in the context of Spain's current National Health System.

Keywords: Acute heart failure; Cardiology; Cardiología; Consenso; Consensus; Emergency departments; Insuficiencia cardíaca aguda; Internal medicine; Medicina Interna; Urgencias.