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首页> 外文期刊>Italian Journal of Medicine >Consensus document ANMCO/FADOI/SIAARTI/SIC/SIMG/SIMI/SIMEU: The clinical-diagnostic and therapeutic pathway of patients with acute heart failure in the Emergency Department
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Consensus document ANMCO/FADOI/SIAARTI/SIC/SIMG/SIMI/SIMEU: The clinical-diagnostic and therapeutic pathway of patients with acute heart failure in the Emergency Department

机译：共识文件ANMCO / FADOI / SIAARTI / SIC / SIMG / SIMI / SIMEU：急诊科急性心力衰竭患者的临床诊断和治疗途径

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Acute heart failure (HF) involves hospitals throughout the world and, as well as other acute cardiac pathologies such as coronary syndromes, has markedly unfavorable outcomes: the mortality or rehospitalization rate after 3 months is 33%, mortality 1 year after admission varies between 25% and 50%. A critical factor in managing acute HF is the multiplicity of health professionals involved in the diagnostic-therapeutic pathway of this syndrome - general practitioners, emergency doctors, cardiologists, internists, anesthesiologists/resuscitators - and therefore also the need to integrate different knowledge and skills and converge on care goals that can improve clinical outcomes. This consensus document originates from the joint work of the Scientific Societies, representing various professional figures involved in assisting patients with acute HF, and has shared strategies and pathways aimed at guaranteeing both quality care levels and better outcomes. The document details the entire journey of the patient with acute HF from the onset of symptoms at home, diagnosis, home management or sending to the Accident and Emergency/Emergency Admissions Department (AandE/EAD), mode of transport, early therapy, through the instrumental clinical pathways for diagnosis in AandE/EAD and the treatment, risk stratification and discharge of the patient in ordinary hospitalization or at home. It also analyses the possible role of cardiological "fast-track", Short Intensive Observation and regional welfare taking charge through general medicine and specialist clinics for the care of HF. The growing care burden and the complex problems generated by acute HF cannot find an adequate solution without an integrated multidisciplinary approach that effectively places emergency facilities in the network along with intensive and ordinary hospitalization units and within the context of regional care. Thanks to contributions from the most qualified Scientific Societies, this document pursues this objective by proposing a structured, shared and applicable pathway which can contribute to manage a widespread problem in the country.
机译：急性心力衰竭（HF）涉及世界各地的医院，以及其他急性心脏疾病（例如冠状动脉综合征）也有明显不利的结果：3个月后的死亡率或重新住院率为33％，入院后1年的死亡率为25 ％和50％。管理急性心力衰竭的一个关键因素是参与该综合征的诊断-治疗途径的卫生专业人员的多样性-全科医生，急诊医生，心脏病专家，内科医生，麻醉师/复苏者-因此也需要整合不同的知识和技能，以及集中于可以改善临床结果的护理目标。这份共识性文件源自科学学会的联合工作，代表参与协助急性心力衰竭患者的各种专业人士，并具有旨在确保高质量护理水平和更好结果的共享策略和途径。该文件详细介绍了急性心力衰竭患者从症状发作，诊断，家庭管理或发送至急症室/急诊室（AandE / EAD）的整个过程，运输方式，早期治疗，通过在AandE / EAD中进行诊断的工具性临床途径，以及在普通住院或在家中对患者的治疗，风险分层和出院。它还分析了通过普通医学和专科诊所负责心衰治疗的心脏病学“快速通道”，短时密集观察和区域福利的可能作用。如果没有一种综合的多学科方法，该方法无法有效地将急救设施与重症和普通住院病房以及在区域护理范围内的网络一起放置在网络中，那么日益增加的护理负担和由急性心力衰竭产生的复杂问题就找不到合适的解决方案。得益于最有资格的科学协会的贡献，本文档通过提出一种结构化，共享和适用的途径来实现这一目标，该途径可以帮助解决该国的广泛问题。

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