Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/130316
Title: Prognostic Impact of the UMIPIC Program in the Follow Up in Patients with Heart Failure and Cardiorenal Syndrome
Authors: Méndez-Bailón, Manuel
Lorenzo-Villalba, Noel
González-Franco, Álvaro
Manzano, Luis
Casado-Cerrada, Jesús
Casado-Cerrada, Jesús
Cerqueiro, José M.
Pérez-Silvestre, José
Arévalo-Lorido, José Carlos
Conde Martel, Alicia 
Dávila-Ramos, Melitón Francisco
Carrera-Izquierdo, Margarita
Andrès, Emmanuel
Montero-Pérez-Barquero, Manuel
UNESCO Clasification: 320501 Cardiología
Keywords: Heart failure
Cardiorenal syndrome
UMIPIC
Issue Date: 2024
Journal: Journal of Clinical Medicine 
Abstract: Background: Individuals suffering from heart failure (HF) and cardiorenal syndrome (CRS) represent a special group of patients considering their age, multiple health issues, and treatment challenges. These factors make them more susceptible to frequent hospital stays and a higher mortality rate. UMIPIC is a multidisciplinary care model program for patients with heart failure follow up provided by internists and nurses who are experts in this entity. Our study delved into the effectiveness of this specialized care program (UMIPIC) in mitigating these risks for HF and CRS patients. Methods: We analyzed the medical records of 3255 patients diagnosed with HF and CRS types 2 and 4, sourced from the RICA registry. These patients were divided into two distinct groups: those enrolled in the UMIPIC program (1205 patients) and those under standard care (2050 patients). Using propensity score matching, we ensured that both groups were comparable. The study focused on tracking hospital admissions and mortality rates for one year after an HF-related hospital stay. Results: Patients in the UMIPIC group experienced fewer hospital readmissions due to HF compared to their counterparts (20% vs. 32%; Hazard Ratio [HR] = 0.48; 95% Confidence Interval [95% CI]: 0.40–0.57; p < 0.001). They also showed a lower mortality rate (24% vs. 36%; HR = 0.64; 95% CI: 0.54–0.75; p < 0.001). Furthermore, the UMIPIC group had fewer total hospital admissions (36% vs. 47%; HR = 0.58; 95% CI: 0.51–0.66; p < 0.001). Conclusions: The UMIPIC program, centered on holistic and ongoing care, effectively reduces both hospital admissions and mortality rates for HF and CRS patients after a one-year follow-up period
URI: http://hdl.handle.net/10553/130316
ISSN: 2077-0383
Source: Journal of Clinical Medicine [2077-0383], v. 12(23): 726 (Diciembre 2023)
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