DECOMPENSATED CHRONIC HEART FAILURE MANAGEMENT MODIFICATIONS FOR PATIENTS WITH FRAILTY

Abstract

Abstract. Introduction. Frailty affects the prognosis of patients suffering from chronic heart failure. This syndrome increases the frequency of hospitalizations, complicates treatment, and increases the patients’ lethality. Managing patients with chronic heart failure requires some strategic modifications, namely, such management should be supplemented with the procedures aimed at correcting geriatric syndromes. Aim. Optimization of management tactics patients with chronic heart failure and frailty syndrome. Materials and Methods. The study included 52 patients with decompensated chronic heart failure and severe or terminal frailty. Patients were divided into 2 groups: 27 people in group 1, where patients were managed in a standard manner for 7 days, and 25 people in group 2 where integrated management was used. Results and Discussion. Patients of the two groups were comparable in lethality (p=0.17). By the 7th day of observation, the groups were comparable in terms of the number of persons with malnutrition syndrome (p=0.73). The patients were comparable in terms of the pressure ulcer stages and of the presence of infectious complications (p = 1.0). The frequency of thromboembolic complications in the study sample was 5.7%. Conclusions. Integrated management may be considered to improve long-term prognosis for the decompensated chronic heart failure patients with frailty, despite the lack of improvement in short-term outcomes.