Quality of Care for Medicare Patients Hospitalized With Heart Failure in Rural Georgia
| Autor: | Fitzgerald D, Baker Dw, Moore Cl |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
Gerontology Digoxin medicine.medical_specialty Cardiotonic Agents Georgia Heart disease Hospitals Rural Angiotensin-Converting Enzyme Inhibitors Medicare Medical Records Ventricular Dysfunction medicine Humans cardiovascular diseases Quality of care Aged Quality of Health Care Retrospective Studies Heart Failure biology business.industry Warfarin Anticoagulants Atrial fibrillation Angiotensin-converting enzyme General Medicine medicine.disease Drug Utilization United States Heart failure Emergency medicine ACE inhibitor biology.protein Female business Algorithms medicine.drug |
| Zdroj: | Southern Medical Journal. 92:782-789 |
| ISSN: | 0038-4348 |
| DOI: | 10.1097/00007611-199908000-00007 |
| Popis: | BACKGROUND It is not known whether quality of care for congestive heart failure (CHF) at rural hospitals is similar to that in larger, urban hospitals. METHODS We reviewed hospital charts for 310 Medicare patients hospitalized with CHF at six hospitals in rural Georgia. RESULTS Of the 310 patients, 101 (33%) had left ventricular systolic dysfunction, and 60 (19%) had preserved systolic function. Information on left ventricular function was not available for 48% (range, 29% to 87% across the six hospitals). Among patients with systolic dysfunction, 77% were prescribed an angiotensin converting enzyme (ACE) inhibitor at discharge, and 73% were prescribed digoxin. However, the mean daily ACE inhibitor dose was only 48% of the recommended target dose. Only 30% of all patients with atrial fibrillation were prescribed warfarin. CONCLUSIONS Overall quality of care for CHF at rural hospitals appears similar to that in other settings, though many patients may not receive evaluation of ventricular function. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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