Journal of Innovative Clinical Trials and Case Reports
Open Access • Peer Reviewed • Bi-Monthly
Post-Hospitalization Transition Phase after an Episode of Acute Congestive Heart Failure Program (p.e.a.c.h. Program). Adoption of a Remote Medicine System in the Post-Hospital ization Transition Phase after an Episode of Acute Congestive Heart Failure (tele p.e.a.c.h.) Creation of an Organizational Model based on Telemedicine with Contextual Collection of Clinical, Laboratory, Ultrasound Parameters and their Correlation with Short-Medium Term Outcomes (Data p.e.a.c.h)
Abstract
The transition phase after hospital discharge for acute heart failure must be governed to achieve the best guideline-directed medical therapy (GDMT) and to avoid major outcomes. For this reason, we planned a 30-day follow up with tele visit and with biohumoral and heart-lungs ultrasound parameters. The KCCQ score, a clinical monitoring form, a HLPOCUs diagram and a database were used to titrate the drugs and to record a prognostic score. Four weeks after discharge the percentage of patients in GDMT had increased, the clinical signs of heart failure had disappeared, the echographic parameters of systol ic/diastolic function and pulmonary congestion were significantly improved, the blood tests did better. The quality of life was also significantly improved as evidenced by the KCCQ score. Furthermore, the number of Emergency Department visits and hospitalizations for heart failure in the short follow up were re duced. In conclusion, post-hospitalization during the transition phase and with the help of telenursing made it possible to optimize heart failure therapy, improve prognostic parameters and short-term outcomes.
Copyright & License
© 2025 The Author(s). Published by WM Journals.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.