Heart failure & cardiomyopathies
In-Hospital Virtual Peer-to-Peer Consultation to Increase Guideline-Directed Medical Therapy for Heart Failure: A Pilot Randomized Trial
Authors' conclusion
Among eligible patients with HFrEF hospitalized for any cause on noncardiology services, a multidisciplinary pilot virtual HF consultation increased new GDMT initiation and dose optimization at discharge.
Study context
- Population
- Patients with heart failure with reduced ejection fraction (HFrEF) admitted to noncardiology medicine services for any cause, large academic tertiary care hospital, May–September 2021of 242 identified
- Participants
- 91 patients
- Comparison
- Virtual peer-to-peer HF consult vs usual care
- Interventionn = 52
- Usual caren = 39reference
- Primary endpoint
- (1) Proportion with new GDMT initiation or use; (2) change in HF optimal medical therapy score incl. target dosing (range 0-9)
- Follow-up
- Discharge
Methodological detailspilot, single-centre
- Pilot
- Single-centre
Primary result
As reported in the abstract
Change in optimal medical therapy score
Absolute difference
+0.75
Change in optimal medical therapy score
Adjusted estimate
0.86±0.42
P = 0.041
adjusted for admission score
Intervention
+0.44
Usual care
−0.31
Original publication
In-Hospital Virtual Peer-to-Peer Consultation to Increase Guideline-Directed Medical Therapy for Heart Failure: A Pilot Randomized Trial. Circ Heart Fail. Published 31 October 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →