CARDIONEPHROLOGY: THE INTERCONNECTION OF CARDIAC AND RENAL AILMENTS

Abstract

 CV dysfunction and chronic kidney disease (CKD) are seen to interact and offer a significant clinical issue warranting integrated care solutions.  This study focuses on how effective the cardionephrology co-managed care paradigm is compared to the unidisciplinary care in patients with symptoms of congestive heart failure (CHF) NYHA Class II or higher and/or with stage 3 CKD or higher.  Quantitative data included eGFR, UACR, LVEF, BNP, and blood pressure levels, whereas qualitative data present the results of semi-structured interviews on patient satisfaction with the treatment, treatment burden, and perceptions of quality and care. The data obtained were categorized into intervention and control groups through a mixed-methods experimental structure.  Based on the findings, the percentage of hospital readmission reduced by 25-point and seven statistical measures in renal and cardiac markers (e.g., increased eGFR, reduced BNP, and enhanced LVEF) in the co-managed group of patients.  The thematic analysis result demonstrated an enhancement in the compliance and high satisfaction in interdisciplinary coordination.  The composite of eGFR and BNP proved to be a significant predictor of clinical improvement in the multivariate regression (p<0.01p < 0.01p<0.01).  The result of the study is that integrated cardionephrology significantly enhances patient outcomes and satisfaction via multidisciplinary and individualized patient care.  In the case of high-risk cardiorenal patients, the proposed technology promotes the shift in the management of chronic diseases to interdisciplinary communication.