학술논문
[Heart failure: a view from primary care].
Document Type
Academic Journal
Author
Barrio Ruiz C; Centro de Salud Camps Blancs, Sant Boi de Llobregat, Barcelona, España. cbarrio.cp.ics@gencat.cat; Parellada Esquius N; Alvarado Montesdeoca C; Moll Casamitjana D; Muñoz Segura MD; Romero Menor C
Source
Publisher: Elsevier España Country of Publication: Spain NLM ID: 9111075 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-1275 (Electronic) Linking ISSN: 02126567 NLM ISO Abbreviation: Aten Primaria Subsets: MEDLINE
Subject
Language
Spanish; Castilian
Abstract
Objective: Our aim was to find out the situation of heart failure (HF) in primary care.
Design: Cross-sectional multicentre study.
Setting: Four primary health care centres and a hospital in an urban area of Barcelona.
Participants: From a registered population of 35,212 inhabitants older than 45 years, we studied all patients (333) diagnosed with HF in 2006 in primary care.
Measurements: A standardised questionnaire was used to record demographic, clinical and treatment data.
Results: There were 61.4% females. Mean age was 74.5 (standard deviation [SD]: 10) for men and 79 (SD: 9.8) for women. A total of 46% of patients had HF for <5 years. The comorbidity diagnosis and at the beginning of the study were: hypertension 65.4% and 73%, diabetes 33.6% and 40%, dyslipaemia 40% and 53%, coronary disease 30% and 27%, and valvular disease 23.7% and 27%, respectively. A total of 64% of patients had registered New York Heart Association functional class (48% class II, 30% III and 6.6% IV). Blood pressure was controlled in 36% men and 20.5% women (P=0.002); 75.4% had an electrocardiogram, 57% X-ray; 58% of men and 46% of women (P=0.02) had echocardiography. The most prescribed drugs were diuretics 85.3%, the least, beta blockers 27%.
Conclusions: Patients with HF in primary care are elderly females with a lot of comorbidities. We must be concerned by the suboptimal use of basic investigations (electrocardiogram and X-ray) and beta blocker treatments.
(Copyright (c) 2009 Elsevier España, S.L. All rights reserved.)
Design: Cross-sectional multicentre study.
Setting: Four primary health care centres and a hospital in an urban area of Barcelona.
Participants: From a registered population of 35,212 inhabitants older than 45 years, we studied all patients (333) diagnosed with HF in 2006 in primary care.
Measurements: A standardised questionnaire was used to record demographic, clinical and treatment data.
Results: There were 61.4% females. Mean age was 74.5 (standard deviation [SD]: 10) for men and 79 (SD: 9.8) for women. A total of 46% of patients had HF for <5 years. The comorbidity diagnosis and at the beginning of the study were: hypertension 65.4% and 73%, diabetes 33.6% and 40%, dyslipaemia 40% and 53%, coronary disease 30% and 27%, and valvular disease 23.7% and 27%, respectively. A total of 64% of patients had registered New York Heart Association functional class (48% class II, 30% III and 6.6% IV). Blood pressure was controlled in 36% men and 20.5% women (P=0.002); 75.4% had an electrocardiogram, 57% X-ray; 58% of men and 46% of women (P=0.02) had echocardiography. The most prescribed drugs were diuretics 85.3%, the least, beta blockers 27%.
Conclusions: Patients with HF in primary care are elderly females with a lot of comorbidities. We must be concerned by the suboptimal use of basic investigations (electrocardiogram and X-ray) and beta blocker treatments.
(Copyright (c) 2009 Elsevier España, S.L. All rights reserved.)