Practical Requirements for the Development of an Advanced Cardiorenal Unit.

Autores de IIS La Fe

• Luis Almenar Bonet

  Autor

• Ignacio José Sánchez Lázaro

  Autor

• Amparo Soldevila Orient

  Autor

• Raquel López Vilella

  Autor

• Víctor José Donoso Trenado

  Autor

• Ramon Devesa Such

  Autor

• Paula Carmona García

  Autor

• Sergi Tormo Ferrandiz

  Autor

• María Jesús Montero Hernández

  Autor

• Julio Hernández Jaras

  Autor

• 

  Luis Vicente Martínez Dolz

  Autor

• Pilar Sanchez Perez

  Autor

Grupos

• Anestesia y Cuidados Críticos

• Farmacogenética

• Grupo de Investigación Clínica y Traslacional en Cardiología

• Medicina Perioperatoria, Anestesiología y Reanimación

• Unidad Mixta de Investigación en Nanomedicina y Sensores

Abstract

BACKGROUND: Heart failure is frequently associated with kidney disease, and patients with kidney disease are at increased risk of heart failure. The co-occurrence of both entities not only significantly increases morbidity and mortality but also complicates therapy. SUMMARY: Cardiorenal syndrome often requires a broad, comprehensive, and multidisciplinary approach. As a result, a need has arisen to create specialized cardiorenal units that allow for rigorous and personalized management of this condition. Moreover, in some cases, cardiorenal syndrome is more complex, owing to an acute and critical situation that requires the concept of the cardiorenal unit to be extended toward advanced diagnostic and therapeutic positions, thus confirming the need for an advanced cardiorenal unit. The creation of these units constitutes a real challenge, necessitating a specific multilevel action plan, covering governance and management, type of patient, personnel requirements, service portfolio, care process, information systems, and other resources. Specific lines of action must be proposed for each of the relevant points in order to facilitate development of these units, together with continuous evaluation of unit activity through specific indicators, and to detect areas for improvement. KEY MESSAGES: This study addresses the conditions and organizational characteristics that enable the creation, development, and continuous improvement of advanced cardiorenal units.

© 2024 The Author(s). Published by S. Karger AG, Basel.

Keywords

• Advanced cardiorenal clinics; Cardiorenal syndrome; Cardiorenal unit; Heart failure; Kidney disease