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• W3125139862 abstract "espanolLa insuficiencia cardiaca aguda (ICA) supone un elevado uso de recursos, carga economica y morbimortalidad, tanto en los servicios de urgencias como durante la hospitalizacion o durante su control ambulatorio. La variabilidad actual existente en el diagnostico, tratamiento y la continuidad asistencial ha inducido que diferentes sociedades cientificas (cardiologia, medicina interna y urgencias) redacten este documento de consenso sobre recomendaciones practicas que den soporte a todos los profesionales intervinientes en el manejo de la ICA y permita homogeneizar la toma de decisiones. El enfoque de estas recomendaciones, basadas en la revision de la literatura y la experiencia clinica, se ha realizado abarcando diferentes puntos criticos del proceso asistencial de los pacientes con ICA: en el servicio de urgencias, en cuanto a la evaluacion inicial del paciente con clinica sugestiva de ICA, orientacion diagnostica, primeras decisiones terapeuticas, monitorizacion, evaluacion del pronostico y criterios de derivacion; durante la hospitalizacion, con el desarrollo de un protocolo basico terapeutico; tras el alta, con la definicion de objetivos de manejo y tratamiento de la ICA al alta del paciente; y de forma global, mediante la mejora o creacion de una organizacion en la atencion multidisciplinar y la continuidad asistencial en la ICA. EnglishAcute heart failure (AHF) requires considerable use of resources, is an economic burden, and is associated with high complication and mortality rates in emergency departments, on hospital wards, or outpatient care settings. Diagnosis, treatment, and continuity of care are variable at present, leading 3 medical associations (for cardiology, internal medicine, and emergency medicine) to undertake discussions and arrive at a consensus on clinical practice guidelines to support those who manage AHF and encourage standardized decision making. These guidelines, based on a review of the literature and clinical experience with AHF, focus on critical points in the care pathway. Regarding emergency care, the expert participants considered the initial evaluation of patients with signs and symptoms that suggest AHF, the initial diagnosis, first decisions about therapy, monitoring, assessment of prognosis, and referral criteria. For care of the hospitalized patient, the group developed a protocol for essential treatment. Objectives for the management and treatment of AHF on discharge were also covered through the creation or improvement of multidisciplinary care systems to provide continuity of care." @default.
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• W3125139862 date "2015-01-01" @default.
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• W3125139862 title "Consenso para la mejora de la atención integral a los pacientes con insuficiencia cardiaca aguda" @default.
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