An electronic consultation program impacts on heart failure patients' prognosis: implications for heart failure care

Autor: Pilar Mazón‐Ramos, Belén Álvarez‐Álvarez, Cristina Ameixeiras‐Cundins, Manuel Portela‐Romero, David Garcia‐Vega, Pedro Rigueiro‐Veloso, Daniel Rey‐Aldana, Ricardo Lage‐Fernández, Sergio Cinza‐Sanjurjo, José R. González‐Juanatey
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: ESC Heart Failure, Vol 9, Iss 6, Pp 4150-4159 (2022)
Druh dokumentu: article
ISSN: 2055-5822
DOI: 10.1002/ehf2.14134
Popis: Abstract Aims e‐consults are asynchronous, clinician‐to‐clinician exchanges that answer focused, non‐urgent, patient‐specific questions using the electronic medical record. We instituted an e‐consultation programme (2013–2019) for all general practitioners (GPs) referrals to cardiologists that preceded patients' in‐person consultations when considered. In our study, we aimed to analyse the clinical characteristics, 1 year prognosis and the prognostic determinants of patients with a previous diagnosis of HF referred for an e‐consult, categorized by their previous HF‐related hospitalization status (recent hospitalization, 1 year before or never been hospitalized because of HF), and to analyse the impact of reducing the time elapsed between e‐consultation and response by the cardiologist in terms of prognosis. Methods and results Epidemiological and clinical data were obtained from 4851 HF patients referred by GPs to the cardiology department for an e‐consultation 2013 and 2020. The delay of time to e‐consults were solved was 8.6 + 8.6 days with 84.3% solved in
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