Position paper ANMCO in collaboration with Italian Alliance for Cardiovascular Rehabilitation and Prevention (ITACARE-P): 'the management of hospital discharge'.

Hospital discharge is a pivotal stage in the continuum of care, marking the transition from the acute clinical episode to subsequent therapeutic management. Rather than being a purely administrative procedure, discharge is a multifaceted process that requires structured planning, clear communication, and the coordinated participation of all healthcare stakeholders, with the patient playing a central role. Inadequate discharge processes may adversely affect clinical outcomes and increase hospital readmission rates, resulting in sub-optimal utilization of healthcare resources. This issue is particularly relevant in the context of an ageing and increasingly frail population, characterized by a high burden of comorbidities and complex clinical needs. In this setting, discharge planning should be treated as an integral component of the care pathway, embedded within a comprehensive, coordinated model of care. This document proposes an updated, practical framework for hospital discharge management, grounded in current scientific evidence and multidisciplinary expertise. Its primary objective is to enhance continuity of care, support individualized treatment strategies, and ultimately improve patient outcomes. Specifically, this paper aims to provide clinical cardiologists with a structured reference tool for discharge management, including actionable recommendations to strengthen physician-patient communication, optimize therapeutic regimens, and promote better health outcomes.

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Publication Details

Journal
PubMed
Published
2026-05-01
DOI
https://doi.org/10.1093/eurheartjsupp/suag055
Primary Topic
Heart Failure Treatment and Management
Type
article
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0.00
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article

Position paper ANMCO in collaboration with Italian Alliance for Cardiovascular Rehabilitation and Prevention (ITACARE-P): 'the management of hospital discharge'.

Elio Venturini, Massimo Pistono, Pasqualina Calisi, Barbara Biffi et al.
PubMed
Heart Failure Treatment and Management
article

Position paper ANMCO in collaboration with Italian Alliance for Cardiovascular Rehabilitation and Prevention (ITACARE-P): 'the management of hospital discharge'.

Elio Venturini, Massimo Pistono, Pasqualina Calisi, Barbara Biffi, Matteo Ruzzolini, Michela Barisone, Francesco Fattirolli, Vittorio Pascale, Marika Werren, Claudio Bilato, Maurizio Giuseppe Abrignani, Maria Elisabetta Angelino, Simonetta Scalvini, Donatella Radini, Emanuele Tizzani, Antonio Mazza, Domenico Gabrielli, Damiano Parretti, Leonardo De Luca, Giovanna Geraci, Francesco Maranta, Carmine Riccio, Massimo Di Marco, Stefania Angela Di Fusco, F Oliva, Alessandro Navazio, Arturo Cesaro, Massimo Grimaldi, Michele Massimo Gulizia, Maurizio de Giovanni, Marco Corda, Furio Colivicchi, Attilio Iacovoni, Marco Ambrosetti, Pietro Scicchitano, Massimo Milli, Federico Nardi, Andrea Di Lenarda
article en

Abstract

Hospital discharge is a pivotal stage in the continuum of care, marking the transition from the acute clinical episode to subsequent therapeutic management. Rather than being a purely administrative procedure, discharge is a multifaceted process that requires structured planning, clear communication, and the coordinated participation of all healthcare stakeholders, with the patient playing a central role. Inadequate discharge processes may adversely affect clinical outcomes and increase hospital readmission rates, resulting in sub-optimal utilization of healthcare resources. This issue is particularly relevant in the context of an ageing and increasingly frail population, characterized by a high burden of comorbidities and complex clinical needs. In this setting, discharge planning should be treated as an integral component of the care pathway, embedded within a comprehensive, coordinated model of care. This document proposes an updated, practical framework for hospital discharge management, grounded in current scientific evidence and multidisciplinary expertise. Its primary objective is to enhance continuity of care, support individualized treatment strategies, and ultimately improve patient outcomes. Specifically, this paper aims to provide clinical cardiologists with a structured reference tool for discharge management, including actionable recommendations to strengthen physician-patient communication, optimize therapeutic regimens, and promote better health outcomes.

PubMedVol. 28(Suppl 6)
Agenzia Regionale per la Protezione Ambientale del Piemonte (IT), Humanitas University (IT), Vita-Salute San Raffaele University (IT), Local Government Association (GB), Altera (United States) (US), Santa Maria Nuova Hospital (IT), Intensive Care Foundation (AU), Foundation Center (US), International School of Trieste (IT), ASL Roma (IT), Istituti Clinici Scientifici Maugeri (IT), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), Associazione Nazionale Medici Cardiologi Ospedalieri (IT), Ospedale San Filippo Neri (IT), Santa Maria Nuova Hospital (IT), Nuovo Ospedale San Giovanni di Dio (IT), Ospedale Sant Antonio (IT), Ospedale Garibaldi (IT), Ospedale Papa Giovanni XXIII (IT), Ospedale di Santo Spirito (IT), Fatebenefratelli Hospital (IT), Ospedale Santa Maria (IT), Don Carlo Gnocchi Foundation (IT), Health Care Foundation (CA), University of Campania "Luigi Vanvitelli" (IT), Mother Hospital (IN), IRCCS Ospedale San Raffaele (IT), Società Italiana di Medicina Generale (IT), Ospedale Generale Regionale Francesco Miulli (IT), Azienda Ospedaliera Pugliese Ciaccio (IT), Ospedale Sant'Anna (IT), Fondazione Audiologica Varese (IT), Policlinico San Matteo Fondazione (IT), Ospedale degli Infermi (IT), Carlo Forlanini Hospital (IT), International Renal Research Institute of Vicenza (IT), IRCCS Humanitas Research Hospital (IT), Azienda Ospedaliera G. Brotzu (IT), University of Florence (IT)
Openalex Percentile: Top 5%
Heart Failure Treatment and Management
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