<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282021000100005</article-id>
<article-id pub-id-type="doi">10.29315/gm.v8i1.373</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Insuficiência Cardíaca Crónica em Hospitalização Domiciliária]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic Heart Failure in Home Hospitalization]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mariano]]></surname>
<given-names><![CDATA[Paulina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Soraia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leitão]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calmeiro]]></surname>
<given-names><![CDATA[Maria Eufémia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[André]]></surname>
<given-names><![CDATA[Maria Eugénia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Castelo Branco  ]]></institution>
<addr-line><![CDATA[Castelo Branco ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Local de Saúde de Castelo Branco  ]]></institution>
<addr-line><![CDATA[Castelo Branco, ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde de Castelo Branco  ]]></institution>
<addr-line><![CDATA[Castelo Branco ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>5</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282021000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282021000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A insuficiência cardíaca crónica é considerada, a nível mundial, a principal causa de internamento em doentes com idade superior a 65 anos. A Unidade de Hospitalização Domiciliária (UHD) foi criada com o objetivo de minimizar as complicações hospitalares, proporcionar maior qualidade de vida e atingir melhores resultados funcionais  Material e métodos:  Estudo retrospetivo de um ano de hospitalização domiciliária da Unidade Local de Saúde de Castelo Branco, destacando apenas doentes internados por descompensação da insuficiência cardíaca crónica.  Resultados:  Neste período foram internados 99 doentes, 23,3% por descompensação da insuficiência cardíaca crónica. Eram do sexo masculino, 52,1%. A idade média foi de 79,8 anos (±10,6). O tempo médio de internamento foi de 6,7 dias (±3). As principais causas da insuficiência cardíaca foram: hipertensão arterial (43,4%) e arritmias (30,4%). O principal fator de descompensação foi infeções (69,5%). Estiveram sob perfusão inicial de furosemida, 56,5%. Evoluíram favoravelmente 95,6% (n=22) dos doentes e 4,3% (n=1) foi transferido para o internamento convencional. Segundo a escala de NEWS, 7,9%-12,7% dos doentes tinham risco de serem admitidos em unidade de cuidados intermédios/intensivos ou morrer entre 60 dias. O índice de comorbilidades de Charlson foi de 3-10 pontos e a sobrevivência num período de 10 anos estimava-se em 0%-77%. Noventa dias após a alta, 69,5% não regressaram à urgência nem foram reinternados.  Conclusão:  A hospitalização domiciliária em doentes com insuficiência cardíaca é vantajosa por proporcionar maior conforto ao doente e reduzir as complicações. Estudos demonstraram que a hospitalização domiciliária aumentou o tempo entre as readmissões, melhorou a qualidade de vida dos doentes e reduziu os custos das hospitalizações.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Chronic heart failure (CHF) is considered, worldwide, the main cause for hospitalization in patients over the age of 65 years old. The Home Hospitalization Unit (HHU) was created in order to minimize hospital complications, to provide a better quality of life and to achieve better functional results.  Material and methods:  Retrospective study of one year of home hospitalization (HH) at the Local Health Unit in Castelo Branco, focusing only in hospitalized patients due to chronic heart failure decompensation.  Results:  During this period, 99 patients were hospitalized, 23.3% due to decompensated heart failure). Were male, 52.1%. The average age was 79.8 years old (±10.6). The average hospital stay was 6.7 days (±3). The main causes of heart failure were hypertension (43.4%) and arrhythmias (30.4%). The main factor for decompensation was infections (69.5%). Were under initial infusion of furosemide, 56.5% of the patients. Evolved favorably 95.6% (n=22) of the patients and one (4.3%) was transferred to conventional hospitalization. According to the NEWS scale, 7.9%-12.7% of the patients were at risk of being admitted to an intermediate/intensive care unit or at risk of dying within 60 days. Charlson&#8217;s comorbidity index was 3-10 points and survival in a subsequent 10-year period was estimated at 0%-77%. Ninety days after discharge, 69.5% of the patients did not return to the emergency department neither were they readmitted.  Conclusion:  Home hospitalization in patients with HF is advantageous because it provides greater comfort to the patient and reduces complications. Studies have shown that HH increased the time between readmissions, improved patients&#8217; quality of life and reduced hospitalization costs.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença Crónica]]></kwd>
<kwd lng="pt"><![CDATA[Insuficiência Cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade de Vida]]></kwd>
<kwd lng="pt"><![CDATA[Serviços Hospitalares de Assistência Domiciliar]]></kwd>
<kwd lng="en"><![CDATA[Chronic Disease]]></kwd>
<kwd lng="en"><![CDATA[Heart Failure]]></kwd>
<kwd lng="en"><![CDATA[Home Care Services, Hospital-Based]]></kwd>
<kwd lng="en"><![CDATA[Quality of Life]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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