Beneficios de un modelo asistencial integral en pacientes con insuficiencia cardíaca y anemia: programa UMIPIC

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Revista clinica espanola Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI:10.1016/j.rce.2026.502538
J.M. Cerqueiro González , Á. González Franco , M. Méndez Bailón , P. Llácer Iborra , A. Conde Martel , J. Pérez Silvestre , M. Montero Pérez-Barquero , L. Manzano Espinosa
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引用次数: 0

Abstract

Objectives

To evaluate the prognostic benefit of the UMIPIC care program in patients with heart failure (HF) and anemia.

Methods

Data from 3,152 patients with HF and anemia from the RICA registry were analyzed. They were divided into 2 groups and selected by matched match: one receiving UMIPIC follow-up (UMIPIC group, N: 621) and the other receiving conventional care (non-UMIPIC group, N: 524). Admissions and mortality were assessed during 12 months of follow-up.

Results

The UMIPIC group had a lower rate of admissions for HF (19.3 vs. 29.8%; P < 0.001) and a reduction in overall mortality (24.8 vs. 36.6%; P  < 0.001). Patients in the UMIPIC group with associated iron deficiency also had a lower rate of admissions for HF (19.1 vs. 32.5%; P < 0.001).

Conclusions

Implementation of the UMIPIC program in patients with HF and anemia reduces admissions and overall mortality at one year. Additional studies are needed to explore the impact of specif iron deficiency treatment within these care program.
心力衰竭和贫血患者综合护理模式的益处:UMIPIC方案
目的评价UMIPIC治疗心力衰竭(HF)和贫血患者的预后益处。方法分析来自RICA登记的3152例HF和贫血患者的数据。将患者分为两组,采用配对法进行选择:一组接受UMIPIC随访(UMIPIC组,N: 621),另一组接受常规护理(非UMIPIC组,N: 524)。在12个月的随访期间评估入院率和死亡率。结果UMIPIC组HF住院率较低(19.3比29.8%;P < 0.001),总死亡率降低(24.8比36.6%;P < 0.001)。合并缺铁的UMIPIC组患者因心衰入院率也较低(19.1 vs. 32.5%; P < 0.001)。结论:在HF和贫血患者中实施UMIPIC项目可降低一年内的住院率和总死亡率。需要进一步的研究来探索在这些护理方案中特定缺铁治疗的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista clinica espanola
Revista clinica espanola 医学-医学:内科
CiteScore
4.40
自引率
6.90%
发文量
73
审稿时长
28 days
期刊介绍: Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.
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