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ABSTRACT: Objectives
The aim of this study was to develop consensus among Argentine cardiologists on a care bundle to reduce readmissions of patients with heart failure (HF).Setting
Hospitals and cardiology clinics in Argentina that provide in-hospital care for patients with HF.Participants
Twenty-four cardiology experts participated in the two online rounds and 18 (75%) of them participated in the third-round meeting.Methods
This study used a mixed-method design; it was conducted between August 2019 and January 2020. The development of a care bundle (a set of evidence-based interventions applied to improve clinical outcomes) involved three phases: (1) a literature review to define the list of interventions to be evaluated; (2) a modified Delphi panel to select interventions for the bundle and (3) definition of the HF care bundle. Also, the process included three rounds of scoring.Results
Twenty-six interventions were evaluated. The interventions in the final bundle covered four categories: medication, continuum of care, lifestyle habits, predischarge tests. These were: medication: beta-blockers, angiotensin receptor neprilysin inhibitors or ACE-inhibitors, furosemide and antimineralocorticoids; continuum of care: follow-up appointment, daily weight monitoring; lifestyle habits: smoking cessation counselling and low-sodium diet; predischarge tests: renal function, ionogram, blood pressure control, echocardiogram and determination of decompensating cause.Conclusion
Following a systematic mixed-method approach, we have developed a care bundle of interventions that could decrease readmission of patients with HF. The application of this bundle could contribute to scale evidence-based interventions.
SUBMITTER: Roberti J
PROVIDER: S-EPMC7778781 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
BMJ open 20201229 12
<h4>Objectives</h4>The aim of this study was to develop consensus among Argentine cardiologists on a care bundle to reduce readmissions of patients with heart failure (HF).<h4>Setting</h4>Hospitals and cardiology clinics in Argentina that provide in-hospital care for patients with HF.<h4>Participants</h4>Twenty-four cardiology experts participated in the two online rounds and 18 (75%) of them participated in the third-round meeting.<h4>Methods</h4>This study used a mixed-method design; it was co ...[more]