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The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations.

Publication ,  Journal Article
Sinha, SS; Bohula, EA; Diepen, SVAN; Leonardi, S; Mebazaa, A; Proudfoot, AG; Sionis, A; Chia, YW; Zampieri, FG; Lopes, RD; Katz, JN
Published in: J Card Fail
December 2022

The overall patient population in contemporary cardiac intensive care units (CICUs) has only increased with respect to patient acuity, complexity, and illness severity. The current population has more cardiac and noncardiac comorbidities, a higher prevalence of multiorgan injury, and consumes more critical care resources than previously. Patients with heart failure (HF) now occupy a large portion of contemporary tertiary or quaternary care CICU beds around the world. In this review, we discuss the core issues that relate to the care of critically ill patients with HF, including global perspectives on the organization, designation, and collaboration of CICUs regionally and across institutions, as well as unique models for provisioning care for patients with HF within a health care setting. The latter includes a discussion of traditional and emerging models, specialized HF units, the makeup and implementation of multidisciplinary team-based decision-making, and cardiac critical care admission and triage practices. This article illustrates the ways in which critically ill patients with HF have helped to shape contemporary CICUs throughout the world and explores how these very patients will similarly help to inform the future maturation of these specialized critical care units. Finally, we will critically examine broad, contemporary, international models of HF and cardiac critical care delivery in North America, Europe, South America, and Asia, and conclude with opportunities for the further investigation and generation of evidence for care delivery.

Duke Scholars

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Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

December 2022

Volume

28

Issue

12

Start / End Page

1703 / 1716

Location

United States

Related Subject Headings

  • Workforce
  • Internationality
  • Humans
  • Heart Failure
  • Critical Illness
  • Critical Care
  • Cardiovascular System & Hematology
  • Cardiology
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

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Chicago
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Sinha, S. S., Bohula, E. A., Diepen, S. V. A. N., Leonardi, S., Mebazaa, A., Proudfoot, A. G., … Katz, J. N. (2022). The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations. J Card Fail, 28(12), 1703–1716. https://doi.org/10.1016/j.cardfail.2022.06.007
Sinha, Shashank S., Erin A. Bohula, Sean V. A. N. Diepen, Sergio Leonardi, Alexandre Mebazaa, Alastair G. Proudfoot, Alessandro Sionis, et al. “The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations.J Card Fail 28, no. 12 (December 2022): 1703–16. https://doi.org/10.1016/j.cardfail.2022.06.007.
Sinha SS, Bohula EA, Diepen SVAN, Leonardi S, Mebazaa A, Proudfoot AG, et al. The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations. J Card Fail. 2022 Dec;28(12):1703–16.
Sinha, Shashank S., et al. “The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations.J Card Fail, vol. 28, no. 12, Dec. 2022, pp. 1703–16. Pubmed, doi:10.1016/j.cardfail.2022.06.007.
Sinha SS, Bohula EA, Diepen SVAN, Leonardi S, Mebazaa A, Proudfoot AG, Sionis A, Chia YW, Zampieri FG, Lopes RD, Katz JN. The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations. J Card Fail. 2022 Dec;28(12):1703–1716.
Journal cover image

Published In

J Card Fail

DOI

EISSN

1532-8414

Publication Date

December 2022

Volume

28

Issue

12

Start / End Page

1703 / 1716

Location

United States

Related Subject Headings

  • Workforce
  • Internationality
  • Humans
  • Heart Failure
  • Critical Illness
  • Critical Care
  • Cardiovascular System & Hematology
  • Cardiology
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology