{
  "abstract": "Background: Recurrent congestion remains a major driver of heart failure (HF)–related acute care utilization despite guideline-directed medical therapy.\n\nProject Rationale: The Congestive Heart Failure Navigator program was developed to support early recognition of worsening HF and proactive HF optimization. This study evaluated whether higher outpatient diuretic optimization intensity was associated with reduced HF hospitalizations.\n\nProject Summary: This retrospective quality improvement study evaluated patients enrolled in the Congestive Heart Failure Navigator program during 2025. Temporal associations between prior-month oral diuretic optimization and HF hospitalizations were analyzed using regression models. The program managed a mean of 54 patients monthly, with hospitalization rates remaining low (0-9.4 per 100 patients). Higher outpatient diuretic optimization intensity was associated with fewer subsequent HF hospitalizations (incidence rate ratio: ≈0.94; P ≈ 0.046). In a pre-post analysis (n = 38), HF hospitalizations declined from 34.2% to 18.4%.\n\nTake-Home Message: Higher-intensity outpatient oral diuretic optimization may represent a scalable early congestion management strategy associated with reduced HF hospitalizations.",
  "abstract_shown": true,
  "affiliations": [
    "Southern Illinois HealthCare, Carbondale, Illinois, USA",
    "Southern Illinois University School of Medicine, Springfield, Illinois, USA",
    "National Healthy Start Association, Washington, DC, USA",
    "Prairie Heart Institute, Carbondale, Illinois, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Aqsa Iqbal"
    },
    {
      "affs": [
        2
      ],
      "name": "Sannie Sulley"
    },
    {
      "affs": [
        0
      ],
      "name": "Lee Anheuser"
    },
    {
      "affs": [
        0
      ],
      "name": "Faelynn Hammond"
    },
    {
      "affs": [
        0
      ],
      "name": "Chrystal Grant"
    },
    {
      "affs": [
        0,
        3
      ],
      "name": "Corrie Farris"
    },
    {
      "affs": [
        0,
        3
      ],
      "name": "Amy Glasco"
    },
    {
      "affs": [
        0,
        1,
        3
      ],
      "name": "Arslan Mirza"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b6g4pgb25jpja.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109117",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728238/",
  "id": "b6g4pgb25jpja",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109117",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Heart Failure and Cardiomyopathies"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
  ],
  "openalex": "W7213406382",
  "pdf_url": null,
  "pmcid": "PMC13728238",
  "pmid": "42752047",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/b6g4pgb25jpja.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:57Z",
      "native_id": "PMC13728238",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109117"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Reducing Heart Failure Hospitalizations With Proactive Outpatient Diuretic Management",
  "title_text": "Reducing Heart Failure Hospitalizations With Proactive Outpatient Diuretic Management",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:16Z",
  "url": "https://research.draconitic.com/paper/b6g4pgb25jpja",
  "venue": "JACC Case Reports",
  "versions": []
}