IJCS | Volume 32, Nº6, November / December 2019

603 1. Li X, Chen C, Qu MY, Li Z, Xu Y, Duan XF, et al. Perceptions and acceptability of receiving SMS self-care messages in chinese patients with heart failure: an inpatient survey. J Cardiovasc Nurs. 2017;32(4):357-64. 2. Cowie MR, Lopatin YM, Saldarriaga C, Fonseca C, Sim D, Magaña JA, et al. The optimize heart failure care program: initial lessons from global implementation. Int J Cardiol. 2017;(236):340-4. 3. Creber RM, Patey M, Lee CS, Kuan A, Jurgens C, Riegel B. Motivational interviewing to improve self-care for patients with chronic heart failure: MITI-HF randomized controlled trial. Patient Educ Couns. 2016;99(2):256-64. 4. Machado W, Vieira MC, Marino P. Tópicos sobre exercício físico e insuficiência cardíaca: miopatia e caquexia na origem da intolerância ao esforço. Rev DERC. 2017;23(1):12-5. 5. Brasil. Ministério da Saúde. Datasus.Departamento de informática do SUS (DATASUS). Estrutura. [Internet]. [citado 2018 jan 11] Disponível em: http://datasus.saude.gov.br/datasus/estrutura. 6. Rosa ACM, Lamari NM. Caracterização de pacientes reinternados no setor de cardiologia. Arq Ciênc Saúde. 2017;24(3):79-83. 7. Fonseca C, Brás D, Araújo I, Ceia F. Heart failure in numbers: estimates for the 21st century in Portugal. Rev Port Cardiol. 2018;37(2):97-104. References Nicolao et al. Heart failure: morbidity and mortality Int J Cardiovasc Sci. 2019;32(6):596-604 Original Article is recommended to reduce morbidity and mortality and improve quality of life for HF patients. The aim of multidisciplinary management is to strengthen a health care system that provides a network of services for patients, in both hospital and ambulatory care settings. Disciplinary management programs are intended to improve the results through structured follow-up and patient education. 24 Educational programs are an important tool to improve the management of self- care by the multi-professional team specialized in the follow-up of patients with HF. However, it is difficult to identify the appropriate strategies and scenarios, since the interventions are heterogeneous, as well as the number of professionals involved, hindering the evaluation of results. 25 It is important to mention that, because the data were collected fromHospital Admission Authorization (AIH) forms, through the DATASUS system, the assessment of other factors that can influence or clarify the causes of decompensation of HF that led to hospital admission were not analyzed due to limitations of the system. Conclusions The data presented showed the prevalence of heart failure-related hospitalization in the Brazilian Unified Health System (SUS), in RS and its capital, compared to national data. We observed a reduction in admission and mortality rates due to HF in all regions studied. The average length of hospital stay and hospital costs increased significantly over the period analyzed. Hospitalizations are prevalent among elderly in the seventh and eighth decades of life. Heart failure is a disease that affects both sexes, whose prevalence depends on the region studied. This is a timely moment to review the current management and to implement evidence- based measures in a controlled and monitored setting. Similarly, initiatives should be undertaken to improve quality of continuity of care. Author contributions Conception and design of the research: Nicolao CZ, Paz AA, Linch GFC, Rover M, Souza EN. Acquisition of data: Nicolao CZ, Ferreira JB, Paz AA, Linch GFC. Analysis and interpretation of the data: Nicolao CZ, Ferreira JB, Paz AA, Linch GFC, Rover M, Souza EN. Statistical analysis: Nicolao CZ, Paz AA, Linch GFC, Souza EN. Obtaining financing: Nicolao CZ. Writing of the manuscript: Nicolao CZ, Ferreira JB, Paz AA, Linch GFC, Rover M, Souza EN. Critical revision of the manuscript for intellectual content: Nicolao CZ, Linch GFC, Rover M, Souza EN. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding There were no external funding sources for this study. Study Association This article is part of the thesis of master submitted by Carolina Zenilda Nicolao, from Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA). Ethics approval and consent to participate This article does not contain any studies with human participants or animals performed by any of the authors.

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