Clinical and therapeutic characteristics in patients with heart failure cared in a tertiary hospital
INTRODUCTION: Heart failure shows high incidence and prevalence in our population. Objectives of our study are to describe the profile of patients cared in the Internal Medicine Department of our hospital, in order to analyze the therapeutic characteristics and to know the degree of utilization of different pharmacological groups.
PATIENTS AND METHODS: A cross-sectional study with collection of data from clinical records of patients admitted to 2002 with the diagnosis of heart failure in Internal Medicine Department of San Carlos Hospital in Madrid. Total patients with heart failure was 1,338. Calculating the sample size with a precision of 5% and a confidence interval of 95%, the number of randomly selected clinical records was 130. Data were obtained with a questionnaire for analysis of different clinical and therapeutic parameters.
RESULTS: The average age was 80.3 (SD: 9.64) years, and most patients were women. Most frequent associated pathology was hypertension, and in 70.2% patients a diagnosis of some disease was established. Diuretics were the drugs most utilized and its prescription increased at discharge (p < 0.0001). Furthermore, the higher the functional class the more diuretics were prescribed. Beta-blockers were prescribed in 7.1% patients, more frequently in patients with an ejection fraction higher than 35% (p = 0.042).
DISCUSSION AND CONCLUSIONS: Patients with heart failure in our environment have advanced age, shows important comorbidities, and suffer an advanced functional class heart failure, being the diuretics their essential treatment. We observed that there is no uniformity concerning the treatment with regard to the last recommendations, and that there is a limited utilization of drugs as beta-blockers that have demonstrated increase the survival of patients with heart failure.
| Errataetall: |
CommentIn: Rev Clin Esp. 2005 Jul;205(7):305-6. - PMID 16029754 |
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| Medienart: |
Artikel |
| Erscheinungsjahr: |
2005 |
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| Erschienen: |
2005 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:205 |
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| Enthalten in: |
Revista clinica espanola - 205(2005), 7 vom: 01. Juli, Seite 322-5 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Características clínicas y terapéuticas de los pacientes con insuficiencia cardíaca en un hospital de tercer nivel |
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| Beteiligte Personen: |
Torres-Gárate, R [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 25.10.2005 Date Revised 17.09.2019 published: Print CommentIn: Rev Clin Esp. 2005 Jul;205(7):305-6. - PMID 16029754 Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM15665847X |
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| 245 | 1 | 0 | |a Clinical and therapeutic characteristics in patients with heart failure cared in a tertiary hospital |
| 246 | 3 | 3 | |a Características clínicas y terapéuticas de los pacientes con insuficiencia cardíaca en un hospital de tercer nivel |
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| 500 | |a Date Completed 25.10.2005 | ||
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| 500 | |a CommentIn: Rev Clin Esp. 2005 Jul;205(7):305-6. - PMID 16029754 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: Heart failure shows high incidence and prevalence in our population. Objectives of our study are to describe the profile of patients cared in the Internal Medicine Department of our hospital, in order to analyze the therapeutic characteristics and to know the degree of utilization of different pharmacological groups | ||
| 520 | |a PATIENTS AND METHODS: A cross-sectional study with collection of data from clinical records of patients admitted to 2002 with the diagnosis of heart failure in Internal Medicine Department of San Carlos Hospital in Madrid. Total patients with heart failure was 1,338. Calculating the sample size with a precision of 5% and a confidence interval of 95%, the number of randomly selected clinical records was 130. Data were obtained with a questionnaire for analysis of different clinical and therapeutic parameters | ||
| 520 | |a RESULTS: The average age was 80.3 (SD: 9.64) years, and most patients were women. Most frequent associated pathology was hypertension, and in 70.2% patients a diagnosis of some disease was established. Diuretics were the drugs most utilized and its prescription increased at discharge (p < 0.0001). Furthermore, the higher the functional class the more diuretics were prescribed. Beta-blockers were prescribed in 7.1% patients, more frequently in patients with an ejection fraction higher than 35% (p = 0.042) | ||
| 520 | |a DISCUSSION AND CONCLUSIONS: Patients with heart failure in our environment have advanced age, shows important comorbidities, and suffer an advanced functional class heart failure, being the diuretics their essential treatment. We observed that there is no uniformity concerning the treatment with regard to the last recommendations, and that there is a limited utilization of drugs as beta-blockers that have demonstrated increase the survival of patients with heart failure | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Lozano Tonkin, C |e verfasserin |4 aut | |
| 700 | 1 | |a Calvo Manuel, E |e verfasserin |4 aut | |
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