Effects of multidisciplinary collaborative treatment in patients with chronic heart failure.

Abstract

Objective: To evaluate the impact and prognosis of a multidisciplinary discharge preparation service model for patients with chronic heart failure.

Methods: A total of 100 patients with chronic heart failure who visited the Wuhan Asia Heart Hospital from January 2022 to September 2023 were included. The patients were divided into an experimental group, receiving a multidisciplinary discharge preparation service, and a control group, receiving conventional treatment. Primary outcomes included New York Heart Association (NYHA) Functional Classification, Left Ventricular Ejection Fraction (LVEF), Serum Uric Acid (SUA) levels, Creatinine Clearance Rate (Ccr), Serum Potassium levels, cardiac death count, and the frequency of heart failure-related hospitalizations. Comparisons between the two groups were conducted to evaluate the effectiveness of the multidisciplinary service model.

Results: After 3 months of treatment, both groups showed significant reductions in NYHA scores, with notable differences before and after treatment (t=-2.631, P=0.025). LVEF levels decreased in both groups following 3 months of discharge preparation service (t=-4.741, P=0.003). The experimental group exhibited greater improvements in SUA and Ccr indices. The highest serum potassium level reached approximately 4.68 mmol/L when LVEF > 50%. In the experimental group, there was 1 case of cardiac death and 6 cases of heart failure-related readmission, while the control group had 2 cases of cardiac death and 8 cases of heart failure-related readmission. There were no significant differences between the two groups in terms of hypoglycemia, urinary tract infections, and gastrointestinal adverse reactions (all P > 0.05).

Conclusion: The multidisciplinary discharge preparation service model significantly improves the clinical condition of patients with chronic heart failure, reducing the risk of heart failure-related deaths and rehospitalizations.