American registry of ambulatory and acute decompensated heart failure (AMERICCAASS registry): Rationale and design.

Autor: Gómez-Mesa JE; Department of Cardiology, Fundación Valle del Lili, Cali, Colombia.; Department of Investigation and Innovation, Fundación Valle del Lili, Cali, Colombia.; Department of Health Sciences, Universidad Icesi, Cali, Colombia.; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico., Gutiérrez-Posso JM; Department of Investigation and Innovation, Fundación Valle del Lili, Cali, Colombia., Escalante-Forero M; Department of Investigation and Innovation, Fundación Valle del Lili, Cali, Colombia., Eraso-Bolaños DE; Department of Investigation and Innovation, Fundación Valle del Lili, Cali, Colombia., Drazner MH; Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA., Quesada-Chaves D; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Cardiology, Hospital San Vicente de Paul, Heredia, Costa Rica., Romero-Guerra A; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Cardiology, Hospital Santo Tomas, Panama City, Panama., Perna ER; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Heart Failure and Pulmonary Hypertension, Instituto De Cardiología J. F. Cabral, Corrientes, Argentina., Álvarez-Sangabriel A; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Emergency Department and Coronary Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico., Rossel V; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Cardiology, Instituto Nacional del Tórax, Santiago, Chile.; Faculty of Medicine, Universidad de Chile, Santiago, Chile., Alarco W; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Cardiology, Instituto Nacional Cardiovascular INCOR, Lima, Peru., Speranza M; Consejo Interamericano de Falla Cardíaca e Hipertensión Pulmonar (CIFACAH) de la Sociedad Interamericana de Cardiología (SIAC), Mexico City, Mexico.; Department of Cardiology, Hospital Clínica Bíblica, San José, Costa Rica.
Jazyk: angličtina
Zdroj: ESC heart failure [ESC Heart Fail] 2024 Dec; Vol. 11 (6), pp. 3805-3813. Date of Electronic Publication: 2024 Jul 16.
DOI: 10.1002/ehf2.14965
Abstrakt: Aims: Heart failure (HF) is a highly prevalent and progressive condition associated with significant morbidity and mortality rates. Acute decompensated HF precipitates millions of hospitalizations each year. Despite therapeutic advances, the overall prognosis of HF is poor. The varying clinical courses and outcomes of patients with this disease may be due to region-specific gaps and since most HF studies are conducted in developed countries, the participation of Latin American and Caribbean countries is low. Considering this, the American Registry of Ambulatory and Acute Decompensated Heart Failure (AMERICCAASS) aims to characterize the population with ambulatory and acute decompensated HF in the American continent and to determine rehospitalization and survival outcomes during the 12 months of follow-up.
Methods and Results: AMERICCAASS Registry is an observational, prospective, and hospital-based registry recruiting patients with ambulatory or acute decompensated HF. The registry plans to include between two and four institutions per country from at least 20 countries in the Americas, and at least 60 patients recruited from each participant institution regardless of their ambulatory or acutely decompensated condition. Ambulatory patients with confirmed HF diagnosis or inpatients presenting with acute decompensated HF will be included. Follow-up will be performed at 12 months in ambulatory patients or 1, 6, and 12 months after hospital discharge in acutely decompensated HF patients. This ongoing study began on 1 April 2022, with recruitment scheduled to end on 30 November 2023, and follow-up on 31 January 2025. Ethics approval was obtained from the Biomedical Research Ethics Committee of Fundación Valle del Lili. Data collected in the AMERICCAASS registry is being stored on the electronic platform REDCap (Research Electronic Data Capture), which allows different forms for patient groups to enable unbiased analyses. For quantitative variables comparison, we will use the Student's t-test or non-parametric tests accordingly. Categorical variables will be presented as proportions, and groups will be compared with Fisher's exact test. The significance level will be <0.05 for comparisons. Readmissions and post-discharge mortality will be calculated as proportions at 1, 6, and 12 months, with a survival analysis by conditional probability and the Kaplan-Meier method.
Conclusions: AMERICCAASS Registry is intended to be the most important registry of the continent for obtaining important information about demographics, aetiology, co-morbidities, and treatment received, either ambulatory or hospitalized. This registry may contribute to the optimization of national and regional evidence and public policies for the diagnosis and treatment of HF disease.
(© 2024 The Author(s). ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)
Databáze: MEDLINE
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