Obiekt
Tytuł: Diagnostics and treatment of heart failure patients in randomly chosen outpatient clinics in Poland
Abstrakt:
Aim: The aim of this study was to evaluate diagnostic and therapeutic practices used in HF patients followed in outpatient clinics in Poland. Methods and results: The survey was performed in Poland between Apr and Dec 2005 in randomly chosen primary care (N= 400) and cardiologic (N= 396) outpatient clinics. The questionnaire aimed to identify HF patients of New York Heart Association (NYHA) class from I to IV. In total 3980 HF patients were included. Questionnaire-based assessment of diagnostic procedures and pharmacotherapy was performed by trained nurses. Mean patient age was 67 ± 11.8 years, 58% were male. HF was diagnosed using echocardiography more often by specialists, in male, younger patients, in urban areas. The patients were treated with ACEI (85%), -blockers (77%), diuretics (75%), spironolacton (50%), digitalis (30%), AT-1 receptor blockers (3%). There were differences in drug prescription practices according to patient age and gender, community size, NYHA class and concomitant diseases. Specialists’ patients were more commonly treated with ACEI, -blockers and spironolactone compared to primary care units, and were more often subjected to invasive cardiovascular procedures. Conclusions: Cardiologists seemed to provide higher quality care of HF patients, more adherent to guidelines compared to primary care doctors in Poland. Although improvement in HF management wo ; uld be possible with streamlining information flow between different levels of care, it should be emphasized that significant progress in HF management has occurred in Poland compared to previous studies.
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choroby układu krążenia ; system ochrony zdrowia
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Data ostatniej modyfikacji:
16 mar 2023
Data dodania obiektu:
21 lis 2012
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http://dl.cm-uj.krakow.pl:8080/publication/803
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| Nazwa wydania | Data |
|---|---|
| ZB-113471 | 16 mar 2023 |
Obiekty
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