VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
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Therapy modifications during hospitalization in patients with chronic heart failureDetiček, Andreja, farmacevtka ...Background: Guidelines on suggested pharmacological treatments for heart failure (HF) are not optimally implemented in clinical practice and whether pharmacotherapy adjustment actually happens in ... daily practice is largely unknown. We aimed to investigate pharmacotherapy modifications during hospitalization. Methods: This was a prospective observational survey where all admissions were screened for HF; 210 patients were included. The guideline adherence index (GAI) and modified GAI (mGAI, if >- 50% of target dose) were used to grade the pharmacotherapy. Results: Among 198 patients discharged alive (mean age 77 years, 51% male), 49% had preserved left ventricular ejection fraction (PLVEF) and 30% had left ventricular systolic dysfunction (LVSD); the echocardiography report was unavailable for 21%. Angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers and mineralocorticoid receptor antagonists were prescribed to 78%, 58% and 20% of patients on admission and 72%, 65% and 23% at discharge, respectively. Overall, 14% of patients met GAI-3, but at discharge only 7% met mGAI-3. One of the key drugs was stopped or down-titrated in 27%. During follow-up, 21% of patients died (25% with LVSD). Patients with LVSD discharged with at least one HF drug had a lower risk of death than patients with none (HR = 0.142, 95% CI = 0.029-0.683, p = 0.015). Patients with PLVEF had better prognosis than LVSD patients when no HF drugs were prescribed at discharge (HR = 0.075, 95% CI = 0.009-0.627, p = 0.017). Conclusions: The pharmacotherapy of HF patients did not improve significantly during hospitalization, remaining suboptimal. Treatment with key drugs was terminatedor reduced in a significant proportion of patients, mostly without specific written justification.Vir: European journal of internal medicine. - ISSN 0953-6205 (Vol. 29, Apr. 2016, str. 52-58)Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasleLeto - 2016Jezik - angleškiCOBISS.SI-ID - 4011889
Avtor
Detiček, Andreja, farmacevtka |
Locatelli, Igor |
Roblek, Tina |
Mrhar, Aleš |
Lainščak, Mitja
Teme
heart failure |
drug therapy |
guideline |
hospitilization
Vnos na polico
Trajna povezava
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Faktor vpliva
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Detiček, Andreja, farmacevtka | 37547 |
Locatelli, Igor | 24399 |
Roblek, Tina | 36205 |
Mrhar, Aleš | 06086 |
Lainščak, Mitja | 22680 |
Vir: Osebne bibliografije
in: SICRIS
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