Factors influencing medical treatment of heart failure patients in Spanish internal medicine departments: a national survey
| Autor: | M Montero, J García-Alegría, P Román-Sánchez, P Conthe, C Montoto, J Forteza-Rey |
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| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Digoxin Cardiotonic Agents Heart disease Cross-sectional study Adrenergic beta-Antagonists Specialty Angiotensin-Converting Enzyme Inhibitors Spironolactone Cardiac Glycosides chemistry.chemical_compound Internal medicine Ambulatory Care Medicine Humans Prospective Studies Medical prescription Prospective cohort study Diuretics Aged Aged 80 and over Heart Failure Nitrates business.industry Anticoagulants General Medicine Middle Aged medicine.disease Clinical trial Hospitalization Cross-Sectional Studies chemistry Heart failure Female business |
| Zdroj: | QJM : monthly journal of the Association of Physicians. 98(2) |
| ISSN: | 1460-2725 |
| Popis: | Background: The medical management of heart failure (HF) in clinical practice varies considerably by country and by medical specialty. Aim: To assess the treatment of HF patients admitted to Internal Medicine departments, and to evaluate out-patient management prior to admission, by specialty. Design: Prospective cross-sectional multi-centre survey. Methods: Of 55 randomly selected Spanish hospitals, 51 agreed to participate. All patients ( n = 2145) consecutively admitted for decompensated HF to the Departments of Internal Medicine of these hospitals, over 5 months, were included. Twenty variables were analysed, including aspects relating to out-patient management prior to admission. Results: Mean ± SD age was 77.2 ± 10.5 years, 57.3% were female, 47% had systolic dysfunction. Prescriptions at discharge: loop diuretics 85.6%, spironolactone 29.8%, ACEIs 65.8%, beta-blockers 8.7%, cardiac glycosides 39%. At admission, 86% already had a diagnosis of HF. Of these, 53% (older patients and more women) were being treated on an out-patient basis by primary care physicians. Primary care physicians requested fewer echocardiograms than internists (38% vs. 69%, p |
| Databáze: | OpenAIRE |
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