Application of integrated management of tertiary hospitals and community hospitals in treatment of patients with chronic heart failure in plateau area
Li Jiang
Liu Wenxian
Zhao Han
Ciren Zhongga
Kang Yunpeng
Ren Yanlong
Abstract：Objective To evaluate the effect of integrated management of tertiary hospitals and community hospitals on patients with chronic heart failure(CHF) in plateau area.Methods A total of 300 CHF patients were randomly selected from the database of 5 community hospitals attached to Lhasa People's Hospital from April to June 2017.Finally 265 patients who met the inclusion criteria and agreed to participate in the experiment were included.The 265 subjects were randomly divided into observation group(n =133) and control group (n =132).The control group was treated with conventional intervention.The observation group was treated with integrated management on the basis of conventional treatment.The experiment last for 12 months.Drug use rate,cardiovascular adverse events such as total mortality,cardiogenic death and readmission due to heart failure were analyzed.Results After 12 months of treatment,use rates ofβ-receptor blockers,angiotensin converting enzyme inhibitors/angiotensin receptor inhibitors and aldosterone receptor antagonist (spirolactone) in observation group were significantly higher than those in control group [78.2％ (93/119) vs 40.0％ (42/105),82.4％ (98/119) vs 47.6％ (50/105),8 1.5 ％ (97/119) vs 41.0％ (43/105)] (P ＜ 0.05).There was no significant difference of use rates of other diuretics and digitalis cardiotonic agents between groups (P ＞ 0.05).During 12 months of treatment,readmission rate and mortality rate in observation group were significantly lower than those in control group (P ＜ 0.05).Conclusion Integrated management can improve the compliance and prognosis of patients with CHF in plateau area.
Keywords：Chronic heart failureIntegrated managementPlateauComplianceReadmission rateMortality
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 485-488 )