Author(s)

Djenamba Bamba-Kamagaté^1*, Esaïe Soya¹, Mbe Dagnogo¹, Kouassi Florent Koffi¹, Parfait Kouame¹, Jean Baptiste Anzouan-Kacou²

¹Medical Service, Cardiology Institute of Abidjan, Abidjan, Côte d’Ivoire.
²Functional Investigation Service, Cardiology Institute of Abidjan, Abidjan, Côte d’Ivoire.

Introduction: The care pathway for heart failure (HF) patients is poorly documented in sub-Saharan Africa. A multidisciplinary management reduces hospitalizations and mortality. In our context of frequent rehospitalization of heart failure patients, the objective of this study was to analyse the post-hospital follow-up health care. Methods: We conducted a prospective study in the medical department of a Heart Institute from January 1^st to December 31, 2015. Patients over 18 years of age, hospitalized for heart failure, consenting and followed up on an outpatient basis for 2 years were included. Results: We collected 396 patients hospitalized for HF. The mean age was 57.4 ± 16 years with a male predominance (59.3%). Retired and unemployed people represented 27% and 16.2% respectively. During the post-hospitalization follow-up, patients who were regularly followed up represented 10.8% of the cases. 74.1% of the cases were regular patients. Patients were not followed up by the usual practitioner (58.2%). Only 94 patients had undergone a cardiovascular rehabilitation programme, of which 21.3% for exercise rehabilitation and 78.7% for therapeutic education. Patients who had attended titration sessions (n = 59) had reached optimal doses of ACE inhibitors, ARB II and beta blockers in 67.8%, 7.3% and 38.5% respectively. The rates of decompensation (73.3%) and rehospitalization (49.5%) were higher. The paraclinic check-up (ECG, X-ray, Cardiac Doppler ultrasonography, Biology) was rarely requested. The probability of survival was higher in patients regularly monitored than in those irregularly monitored. Conclusion: The organisation of care and coordination between professionals should be structured or planned. Therapeutic strategies need to be intensified in order to optimise their long-term benefits.

Care Pathway, Hospitalization Suites, Heart Failure, Outpatient

Bamba-Kamagaté, D. , Soya, E. , Dagnogo, M. , Koffi, K. , Kouame, P. and Anzouan-Kacou, J. (2023) Heart Failure: Organization of Care after Hospitalization at the Abidjan Cardiology Institute. World Journal of Cardiovascular Diseases, 13, 619-631. doi: 10.4236/wjcd.2023.139055.