Quality care in the management of heart failure in a health area.

Autor:	Tárraga López PJ; Medicina de Familia, Centro Salud Zona 5A, Albacete, España; Facultad de Medicina, Universidad de Castilla-La Mancha , Albacete, España. Electronic address: pedrojuan.tarraga@uclm.es., Villar Inarejos MJ; Medicina de Familia, Centro Salud Zona 5A, Albacete, España., Sadek IM; Medicina de Familia, Centro Salud Zona 5A, Albacete, España., Madrona Marcos F; Medicina de Familia, Centro Salud Zona 5A, Albacete, España., Tárraga Marcos L; Servicio de Pediatría, Hospital Clínico Lozano Blesa, Zaragoza, España., Simón García MÁ; Servicio de Cardiología, Complejo Hospitalario Universitario de Albacete, Albacete, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis [Clin Investig Arterioscler] 2018 Nov - Dec; Vol. 30 (6), pp. 258-264. Date of Electronic Publication: 2018 Sep 24.
DOI:	10.1016/j.arteri.2018.06.004
Abstrakt:	Objective: To analyse the heart failure situation in a health area, as well quality criteria. Method: Cross-sectional observational study of patients diagnosed with heart failure by collecting data from their clinical history in the «Turriano» computer program. The variables analysed were, comorbidities, control of cardiovascular risk factors, treatments, number of chronic diseases, and admissions. The level of adherence to drugs in relation to heart failure by determining the ratio between the percentage of prescribed drugs and drugs withdrawn from pharmacy is also analysed using the Turriano prescription program. The study consisted of an improvement cycle or evaluative cycle, following the methodology proposed by Palmer to evaluate the quality of ambulatory care. Results: A total of 161 patients were included, with a mean age of 81.24 years, and 54.6% were women. Almost all of them (95%) had disease associated high blood pressure, including diabetes 42.2%, dyslipidaemia 8.9%, obesity 49.1%, and cancer 13.7% Some type of heart disease was diagnosed in 62.2% of patients with 29.2% ischaemic heart disease, 46.6% cardiac arrhythmias, and 20.5% valve diseases. More than 60% had between 4 and 6 concomitant diseases. An acceptable control is observed as regards the cardiovascular risk factors. Diuretic treatment was taken by 70%, with 32% and 35% taking angiotensin converting enzyme inhibitors and angiotensin II receptor antagonists. More than 20% have had 1-2 admissions in the last year, with cardiac decompensation being the main cause. There was 16% mortality. Conclusions: Patients with heart failure have a significant number of chronic concomitant diseases, although there is an acceptable cardiovascular risk factors control. There are quality criteria that can be improved. (Copyright © 2018 Sociedad Española de Arteriosclerosis. All rights reserved.)
Databáze:	MEDLINE
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