Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina

Autores
Roberti, Javier Eugenio; Vita, Tomás; Piastrella, Jimena; Porley, Carlos; Pereyra, Lisandro; Diez, Mirta; Renedo, Florencia; Fairman, Enrique; Fernández, Alberto; Thierer, Jorge; Garcia Elorrio, Ezequiel
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Vita, Tomás. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Piastrella, Jimena. Novartis Argentina SA; Argentina
Fil: Porley, Carlos. Novartis Argentina SA; Argentina
Fil: Pereyra, Lisandro. Novartis Argentina SA; Argentina
Fil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; Argentina
Fil: Renedo, Florencia. Fundación Favaloro; Argentina
Fil: Fairman, Enrique. Clinica Bazterrica; Argentina
Fil: Fernández, Alberto. Sanatorio Modelo Quilmes; Argentina
Fil: Thierer, Jorge. Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno"; Argentina
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
ADULT CARDIOLOGY
HEART FAILURE
PROTOCOLS & GUIDELINES
QUALITY IN HEALTH CARE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/169189
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/169189
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in ArgentinaRoberti, Javier EugenioVita, TomásPiastrella, JimenaPorley, CarlosPereyra, LisandroDiez, MirtaRenedo, FlorenciaFairman, EnriqueFernández, AlbertoThierer, JorgeGarcia Elorrio, EzequielADULT CARDIOLOGYHEART FAILUREPROTOCOLS & GUIDELINESQUALITY IN HEALTH CAREhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objectives 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.Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Vita, Tomás. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Piastrella, Jimena. Novartis Argentina SA; ArgentinaFil: Porley, Carlos. Novartis Argentina SA; ArgentinaFil: Pereyra, Lisandro. Novartis Argentina SA; ArgentinaFil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; ArgentinaFil: Renedo, Florencia. Fundación Favaloro; ArgentinaFil: Fairman, Enrique. Clinica Bazterrica; ArgentinaFil: Fernández, Alberto. Sanatorio Modelo Quilmes; ArgentinaFil: Thierer, Jorge. Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno"; ArgentinaFil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaBMJ Publishing Group2020-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/169189Roberti, Javier Eugenio; Vita, Tomás; Piastrella, Jimena; Porley, Carlos; Pereyra, Lisandro; et al.; Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina; BMJ Publishing Group; BMJ Open; 10; 12; 12-2020; 1-72044-6055CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/content/10/12/e040028info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2020-040028info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T15:39:44Zoai:ri.conicet.gov.ar:11336/169189instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 15:39:45.184CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
title Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
spellingShingle Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
Roberti, Javier Eugenio
ADULT CARDIOLOGY
HEART FAILURE
PROTOCOLS & GUIDELINES
QUALITY IN HEALTH CARE
title_short Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
title_full Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
title_fullStr Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
title_full_unstemmed Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
title_sort Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina
dc.creator.none.fl_str_mv Roberti, Javier Eugenio
Vita, Tomás
Piastrella, Jimena
Porley, Carlos
Pereyra, Lisandro
Diez, Mirta
Renedo, Florencia
Fairman, Enrique
Fernández, Alberto
Thierer, Jorge
Garcia Elorrio, Ezequiel
author Roberti, Javier Eugenio
author_facet Roberti, Javier Eugenio
Vita, Tomás
Piastrella, Jimena
Porley, Carlos
Pereyra, Lisandro
Diez, Mirta
Renedo, Florencia
Fairman, Enrique
Fernández, Alberto
Thierer, Jorge
Garcia Elorrio, Ezequiel
author_role author
author2 Vita, Tomás
Piastrella, Jimena
Porley, Carlos
Pereyra, Lisandro
Diez, Mirta
Renedo, Florencia
Fairman, Enrique
Fernández, Alberto
Thierer, Jorge
Garcia Elorrio, Ezequiel
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ADULT CARDIOLOGY
HEART FAILURE
PROTOCOLS & GUIDELINES
QUALITY IN HEALTH CARE
topic ADULT CARDIOLOGY
HEART FAILURE
PROTOCOLS & GUIDELINES
QUALITY IN HEALTH CARE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv 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.
Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Vita, Tomás. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Piastrella, Jimena. Novartis Argentina SA; Argentina
Fil: Porley, Carlos. Novartis Argentina SA; Argentina
Fil: Pereyra, Lisandro. Novartis Argentina SA; Argentina
Fil: Diez, Mirta. Instituto Cardiovascular de Buenos Aires; Argentina
Fil: Renedo, Florencia. Fundación Favaloro; Argentina
Fil: Fairman, Enrique. Clinica Bazterrica; Argentina
Fil: Fernández, Alberto. Sanatorio Modelo Quilmes; Argentina
Fil: Thierer, Jorge. Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno"; Argentina
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/169189
Roberti, Javier Eugenio; Vita, Tomás; Piastrella, Jimena; Porley, Carlos; Pereyra, Lisandro; et al.; Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina; BMJ Publishing Group; BMJ Open; 10; 12; 12-2020; 1-7
2044-6055
CONICET Digital
CONICET
url http://hdl.handle.net/11336/169189
identifier_str_mv Roberti, Javier Eugenio; Vita, Tomás; Piastrella, Jimena; Porley, Carlos; Pereyra, Lisandro; et al.; Care bundle to reduce readmission in patients with heart failure: a modified Delphi consensus panel in Argentina; BMJ Publishing Group; BMJ Open; 10; 12; 12-2020; 1-7
2044-6055
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/content/10/12/e040028
info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2020-040028
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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