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Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.

期刊: Internal and emergency medicine 日期: 2026-01-01 PMID: 42086828 DOI: 10.1007/s11739-026-04355-5 浏览: 3
作者: Antonelli Giulia; Pinto Giuseppe; Villaschi Alessandro; Filiberti Gaia; Giaj Levra Alessandro; Panico Cristina; Pagliaro Beniamino Rosario; Maccallini Marta; Pellegrino Marta; Del Monaco Guido; Ardino Laura; Vrinceanu Elena; Pini Daniela; Condorelli Gianluigi
Giulia, A., Giuseppe, P., Alessandro, V., Gaia, F., Alessandro, G.L., Cristina, P., Rosario, P.B., Marta, M., Marta, P., Guido, D.M., Laura, A., Elena, V., Daniela, P., & Gianluigi, C. (2026). Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.. Internal and emergency medicine. https://doi.org/10.1007/s11739-026-04355-5
Giulia A, Giuseppe P, Alessandro V, Gaia F, Alessandro GL, Cristina P, et al. Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.. Internal and emergency medicine. 2026; doi: 10.1007/s11739-026-04355-5
Giulia A, Giuseppe P, Alessandro V, et al. Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.[J]. Internal and emergency medicine. 2026. DOI: 10.1007/s11739-026-04355-5.
@article{giulia2026,
  author = {Antonelli Giulia and Pinto Giuseppe and Villaschi Alessandro and Filiberti Gaia and Giaj Levra Alessandro and Panico Cristina and Pagliaro Beniamino Rosario and Maccallini Marta and Pellegrino Marta and Del Monaco Guido and Ardino Laura and Vrinceanu Elena and Pini Daniela and Condorelli Gianluigi},
  title = {Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.},
  journal = {Internal and emergency medicine},
  year = {2026},
  doi = {10.1007/s11739-026-04355-5},
  note = {PMID: 42086828},
}
TY  - JOUR
AU  - Antonelli Giulia
AU  - Pinto Giuseppe
AU  - Villaschi Alessandro
AU  - Filiberti Gaia
AU  - Giaj Levra Alessandro
AU  - Panico Cristina
AU  - Pagliaro Beniamino Rosario
AU  - Maccallini Marta
AU  - Pellegrino Marta
AU  - Del Monaco Guido
AU  - Ardino Laura
AU  - Vrinceanu Elena
AU  - Pini Daniela
AU  - Condorelli Gianluigi
TI  - Impact of an intensive follow-up program on the outcome of acute heart failure patients hospitalized in internal medicine versus cardiology units: a single-center retrospective cohort study.
T2  - Internal and emergency medicine
PY  - 2026
DO  - 10.1007/s11739-026-04355-5
AN  - PMID:42086828
ER  - 

摘要

This study evaluates the efficacy of a post-discharge follow-up program in patients recovering from acute heart failure (AHF) hospitalized in internal medicine (IM) and in cardiology (CA) wards. Patients hospitalized for AHF between October 2020 and November 2022 at a third-level center were retrospectively analyzed according to their hospitalization ward in CA vs IM. Patients deemed eligible for inclusion were ≥ 18 years-old and hospitalized for AHF. Only patients discharged alive were included in the post-AHF follow-up program. The primary endpoint was a composite of time to first HF hospitalization or cardiovascular (CV) death at 6 months, while secondary endpoints were its individual components, all-cause death and a composite of time to first HF hospitalization or all-cause mortality at 6 months. Out of 230 patients, 122 were hospitalized in CA and 108 in IM wards. Patients hospitalized in CA were younger and less frequently affected by extra-cardiac comorbidities compared to patients managed in IM. At 6 months, no difference in the primary endpoint was registered in the two groups (IM 16.6% N = 18 vs CA 13.1% N = 16, log-rank p = 0.425; IR 37.5 per 100 p/y CI 23.7-59.6 vs 28.4 per 100 p/y CI 17.4-46.5; p = 0.523). Moreover, the cohorts did not differ for any of the secondary endpoints. A secondary analysis according both to ward of hospitalization and ejection fraction (> 40% vs ≤ 40%) did not show any significant difference in the primary composite outcome between the subgroups. In this single-center retrospective cohort study, no significant differences in the risk of major adverse CV events were observed between patients hospitalized in CA and IM wards during mid-term follow-up after enrollment in a post-AHF follow-up program.

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