Collection of data from patients with heart failure, both in the acute phase (data collection during hospital admission) and in the chronic phase (data collection during outpatient follow-up), optimization of the treatment of patients with heart failure, and implementation of a care model based on risk stratification.
The study is structured into two distinct phases: retrospective and prospective. The retrospective phase aims to collect anamnestic, clinical, instrumental, and treatment data relating to patients diagnosed with heart failure, both at discharge (acute heart failure) and in the outpatient setting (chronic heart failure), referred to the Cardiovascular Department of ASST Papa Giovanni XXIII in Bergamo during the period from January 1, 2017 to May 31, 2020. The same data relating to patients diagnosed with heart failure, both at discharge (acute heart failure) and in the outpatient setting (chronic heart failure), referred to the Cardiovascular Department of ASST Papa Giovanni XXIII will be collected prospectively over a three-year period (from June 1, 2020 to June 30, 2023). Each patient will be followed for one year from the index date of inclusion in the study.
Study Type
OBSERVATIONAL
Enrollment
2,428
Asst Papa Giovanni Xxiii - Dip. Di Cardiologia
Bergamo, Italy
Heart failure free survival
Risk of adverse clinical events (mortality and morbidity) in the short to medium term.
Time frame: Follow up at 3 months, 6 months and 12 months
Improvement of 3C-HF prognostic score
Improvement of 3C-HF prognostic score in its predictive power for 90-day events (mortality and morbidity) by adding parameters from previously unexplored domains (e.g., biomarkers, frailty indices).
Time frame: Follow up at 3 months
3C-HF score for heart failure free survival
The prediction of the power of the 3C-HF score for long-term events (mortality and morbidity) over one year.
Time frame: Follow up at 12 months
Implement a transitional care model
The treatment of patients hospitalized for acute decompensation of heart failure and, at discharge, implement a transitional care model that takes into account the individual patient's clinical characteristics.
Time frame: Up to baseline
Prevent episodes of heart failure worsening.
Treatment of outpatients based on their individual risk profile for adverse clinical events, aiming to prevent episodes of heart failure worsening.
Time frame: Up to baseline
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