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Master Thesis

Description du parcours de soins des patients hospitalisés pour une insuffisance cardiaque aiguë au CHU Felix-Guyon

Abstract : Background: Heart failure (HF) is a clinical syndrome that combines symptoms, clinical signs and structural or functional impairment of cardiac activity. Its evolution is marked by episodes of acute heart failure (AHF). HF is a frequent, serious and costly pathology. It represents the first cause of hospitalization for patients over 65 years old. In Reunion Island, the premature mortality rate related to heart failure is twice as high as in France. The management of patients with impaired or preserved ejection fraction is well codified according to the ESC recommendations. Despite all the therapies, the 2-year mortality of a patient hospitalized for AHF is 40%. The objective of our study is to describe the care pathway of patients hospitalized for ICA. Method: All hospital stays of patients older than 18 years hospitalized for acute heart failure over a 3-month period were included. A 6-month follow-up was performed at discharge. Results: 129 hospital stays were analyzed; 65% of patients were hospitalized in a specialized cardiology department. Hospitalized patients had a high prevalence of cardiovascular risk factors: 85% of patients had hypertension, 48% had type 2 diabetes. The mean left ventricular ejection fraction was 41%. At their initial clinical presentation, 8.5% of patients presented in cardiogenic shock, 44% of patients used an intensive care unit. The return home remains to be improved, 0% of patients benefited from the PRADO-IC set up by the health insurance, only 14% were able to benefit from follow-up in a specialized heart failure care and therapeutic education unit.
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Master Thesis
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Submitted on : Monday, December 13, 2021 - 11:31:40 AM
Last modification on : Saturday, December 18, 2021 - 3:40:38 AM


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  • HAL Id : dumas-03476906, version 1


Jérémy Marot. Description du parcours de soins des patients hospitalisés pour une insuffisance cardiaque aiguë au CHU Felix-Guyon. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03476906⟩



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