Abstract| Volume 23, ISSUE 10, SUPPLEMENT , S18, October 2017

Effects of Optimal Medical Therapy Using a Multi-Disciplinary Check Sheet for Interprofessional Collaboration in Patients with Heart Failure

      Background: It has been demonstrated that the optimal medical therapy including multi-disciplinary approach and care can decrease the rate of mortality and re-admission in patients with heart failure(HF). However, there is no routine approach to create seamless collaboration for the medical team. The purpose of this study was to determine whether disciplinary check sheet(MDCS)affected the clinical outcome in patients with HF. Methods: Eighty patients who were hospitalized from January to March in 2015 were cared without a MDCS(Group 1:age 81 ± 11, EF 41 ± 16%). One hundred patients who were hospitalized from January to March in 2017 were cared using a MDCS(Group 2:age 79 ± 11, EF 46 ± 14%). We compared the duration of hospitalization, the rate of multi-disciplinary care after their discharge and readmission between two groups. Results: The patients with group 2 showed significantly shorter duration of hospitalization (26 ± 16 vs 20 ± 15, P = .01) and higher multi-disciplinary care for outpatients (42% vs 77%, P < .01) than those with group 1. The readmission rate due to HF during one month after their discharge was lower in patients with group 2 compared to those with group 1 (11% vs 3%, P = .04). Conclusion: MDCS is a useful tool to improve the system for the multi-disciplinary collaboration and effective to decrease a readmission rate in hospitalized patients with HF.
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