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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