TREATMENT AND CARE OF PATIENTS WITH HEART FAILURE IN THE INTENSIVE CARE UNIT
Keywords:
heart failure, intensive care, mortality, multidisciplinary treatmentAbstract
Introduction: Acute heart failure (HF) resulting in hospitalization is a major cause of morbidity and mortality. Moreover, with the increasing severity of the illness and rapid HF treatment advances, patients with HF often require critical care resources. Multidisciplinary treatment is a key moment in managing with acute heart failure. In recent years, great progress has also been made in the management of HF. Quadruple therapy is now mandatory for all patients with HF with reduced ejection fraction (EF%). Despite the progress, mortality is still at a high level.
Objective: The aim of this paper is to present the total number of hospitalized patients with diagnosed heart failure with reduced ejection fraction at the cardiology department of the PHI “Klinical Hospital”-Stip, in a period of one year.
Materials and methods: The study was conducted in the Intensive Care Unit of the Cardiology Department of PHI “Clinical Hospital”-Stip, from January 2022 to December 2022. A total of 242 patients hospitalized with heart failure with EF<50% were included in the study. Of the total number, 150 (61.98%) were male, and 92 (38.02%) were female. The largest number of patients were aged 70-79 years (26.04%) for both men and women respectively.. The average number of days of hospitalization was 5.58 and 6 days, respectively. The total hospital mortality was 21.48%, or 52 patients, of whom 33 (22%) were male and 19 (20.6%) were female.
Conclusion: There are several papers showing the prevalence of HF, which is rapidly increasing and is more common in the young population. Over the past decades, the prognosis of HF has improved slightly, but mortality and hospitalization rates remain high, and many patients progress to advanced HF with few treatment options. Ongoing research and advances in treatment continue to improve outcomes and improve the quality of life of patients, thereby contributing to a reduction in overall mortality.
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