학술논문
Epidemiology of heart failure and long-term follow-up outcomes in a north-African population: Results from the NAtional TUnisian REgistry of Heart Failure (NATURE-HF).
Document Type
article
Author
Leila Abid; Salma Charfeddine; Ikram Kammoun; Manel Ben Halima; Hedi Ben Slima; Meriem Drissa; Khadija Mzoughi; Dorra Mbarek; Leila Riahi; Saoussen Antit; Afef Ben Halima; Wejdene Ouechtati; Emna Allouche; Mehdi Mechri; Chedi Youssfi; Ali Khorchani; Kais Sammoud; Khaled Zaouia; Rami Tlili; Sana Ouali; Faten Triki; Sonia Hamdi; Selim Boudich; Marwa Chebbi; Mouna Hentati; Amani Farah; Habib Triki; H Ghardallou; H Radoui; Sofien Zayed; F Azaiez; Fadoua Omri; Akram Zouari; Zine Ben Ali; A Najjar; Houssem Thabet; Mouna Chaker; Samar Mohammed; Abdelhamid Ben Jmaa; Haithem Tangour; Yassine Kammoun; Mahmoud Cheikh Bouhlel; S Azeiz; R Gtaief; S Mashki; Aymen Amri; Hela Naanea; Raoudha Othmani; Iheb Chahbani; Houcine Zargouni; Syrine Abid; Mokded Ayari; Ines Ben Ameur; Ali Guesmi; Nejeh Ben Halima; Habib Haouala; Wafa Fehri; Essia Boughzela; Lilia Zakhama; Soraya Ben Youssef; Wided Nasraoui; Rachid Boujneh; Nedia Barakett; Sondos Kraiem; Hbiba Drissa; Ali Ben Khalfalah; Habib Gamra; Salem Kachboura; Yosra Majdoub; Elifa Kanoun; Faiez Zannad; Sami Milouchi; Alexandre Mebaza; Samir Kammoun; Sami Mourali; Karima Hezbri; Faouzi Addad
Source
PLoS ONE, Vol 16, Iss 5, p e0251658 (2021)
Subject
Language
English
ISSN
1932-6203
Abstract
The NATURE-HF registry was aimed to describe clinical epidemiology and 1-year outcomes of outpatients and inpatients with heart failure (HF). This is a prospective, multicenter, observational survey conducted in Tunisian Cardiology centers. A total of 2040 patients were included in the study. Of these, 1632 (80%) were outpatients with chronic HF (CHF). The mean hospital stay was 8.7 ± 8.2 days. The mortality rate during the initial hospitalization event for AHF was 7.4%. The all-cause 1-year mortality rate was 22.8% among AHF patients and 10.6% among CHF patients. Among CHF patients, the older age, diabetes, anemia, reduced EF, ischemic etiology, residual congestion and the absence of ACEI/ ARBs treatment were independent predictors of 1-year cumulative rates of rehospitalization and mortality. The female sex and the functional status were independent predictors of 1-year all-cause mortality and rehospitalization in AHF patients. This study confirmed that acute HF is still associated with a poor prognosis, while the mid-term outcomes in patients with chronic HF seems to be improved. Some differences across countries may be due to different clinical characteristics and differences in healthcare systems.