{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T21:56:37Z","timestamp":1778018197601,"version":"3.51.4"},"reference-count":24,"publisher":"Baishideng Publishing Group Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Cardiol"],"abstract":"BACKGROUND<\/jats:p>\n Significant gaps in guideline-directed medical therapy (GDMT) for heart failure (HF) stem from shortages of cardiologists and advanced HF providers, as well as a lack of optimal HF management knowledge among hospitalists. This study compared the impact of optimal medical therapy in HF (OMT-HF) certification on GDMT implementation and patient outcomes between an intervention group (IG) of hospitalists and a standard-of-care comparison group (SOC-CG).<\/jats:p>\n AIM<\/jats:p>\n To evaluate if OMT-HF has a difference in GDMT and patients in outcomes between IG and SOC-CG.<\/jats:p>\n METHODS<\/jats:p>\n This study was implemented from November 2022 to May 2023. Hospitalized cardiology patients with HF and left ventricular ejection fraction \u2264 40% were randomized to IG or SOC-CG. Exclusion criteria included patients in cardiogenic shock, unable to consent, or at high risk. Follow-up was at 30 days post-discharge. Differences between groups were analyzed using Fisher\u2019s exact test for categorical variables and Wilcoxon rank-sum or unpaired t -test for continuous variables. Changes in Minnesota Living with Heart Failure Questionnaire (MLWHFQ) scores were evaluated using a paired t -test.<\/jats:p>\n RESULTS<\/jats:p>\n IG patients had lower readmission rates [(9 (42.85%) vs 11 (17.46%), P = 0.03] and a decreased trend in mortality 30-day post discharge. IG patients also showed greater mean improvements in total (-27.03 \u00b1 24.59 vs -5.85 \u00b1 23.52, P < 0.001), physical (-13.8 \u00b1 12.3 vs -2.71 \u00b1 11.16, P < 0.001) and emotional (-4.76 \u00b1 8.10 vs -1.42 \u00b1 5.98) dimensions on the MLWHFQ compared to SOC-CG, however, change in emotional dimension did not reach statistical significance.<\/jats:p>\n CONCLUSION<\/jats:p>\n Hospitalist OMT-HF certification may lead to better 30-day outcomes in hospitalized HF patients including quality of life, mortality and readmission rates. Larger prospective studies are warranted to validate these findings.<\/jats:p>","DOI":"10.4330\/wjc.v17.i6.107102","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T02:11:46Z","timestamp":1750385506000},"source":"Crossref","is-referenced-by-count":2,"title":["Impact of optimal medical therapy in heart failure certification for hospitalists on guideline-directed medical therapy utilization"],"prefix":"10.4330","volume":"17","author":[{"given":"Farhan","family":"Ishaq","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duc T","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward A","family":"Graviss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebun","family":"Ebunlomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Bhimaraj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Fida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.7472"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.05.040"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.121.008335"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1177\/23779608231209220"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.04.070"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2018.01.006"},{"key":"B7","unstructured":"Fonarow GC; ADHERE Scientific Advisory Committee. 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