Multidisciplinary care (MDC) of heart failure patients has inherent advantages over routine care alone (RC) with protocol-driven, optimal medical management.
In this study, investigators at St Vincent’s University Hospital Heart Failure Unit and Irish Heart Foundation, Dublin, Ireland, examined whether MDC could reduce hospital re-admissions among heart failure patients when optimal medical care is provided to both intervention and control groups.
Fifty-one patients admitted to hospital with left ventricular failure (New York Heart Association Class IV) were randomly assigned to MDC, while another 47 were assigned to RC as controls.
All 98 patients, mean age, 70.8 ± 10.5 years, were given the same components of optimal medical care for HF: specialist-led inpatient care; titration of angiotensin-converting enzyme (ACE) inhibitor to maximum tolerated dose before discharge; and attainment of pre-determined discharge criteria such as stable weight and cessation of intravenous therapy.
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