Back to Search
Start Over
Differences in guideline-recommended heart failure medication between Dutch heart failure clinics: an analysis of the CHECK-HF registry
- Source :
- Netherlands Heart Journal, 28(6), 334-344. Bohn Stafleu van Loghum, Netherlands Heart Journal
- Publication Year :
- 2020
-
Abstract
- Background Heart failure (HF) is associated with poor prognosis, high morbidity and mortality. The prognosis can be optimised by guideline adherence, which also can be used as a benchmark of quality of care. The purpose of this study was to evaluate differences in use of HF medication between Dutch HF clinics. Methods The current analysis was part of a cross-sectional registry of 10,910 chronic HF patients at 34 Dutch outpatient clinics in the period of 2013 until 2016 (CHECK-HF), and focused on the differences in prescription rates between the participating clinics in patients with heart failure with reduced ejection fraction (HFrEF). Results A total of 8,360 HFrEF patients were included with a mean age of 72.3 ± 11.8 years (ranging between 69.1 ± 11.9 and 76.6 ± 10.0 between the clinics), 63.9% were men (ranging between 54.3 and 78.1%), 27.3% were in New York Heart Association (NYHA) class III/IV (ranging between 8.8 and 62.1%) and the average estimated glomerular filtration rate (eGFR) was 59.6 ± 24.6 ml/min (ranging between 45.7 ± 23.5 and 97.1 ± 16.5). The prescription rates ranged from 58.9–97.4% for beta blockers (p p p p p p p p Conclusions The prescription rates and prescribed dosages of guideline-recommended medication differed significantly between HF outpatient clinics in the Netherlands, not fully explained by differences in patient profiles.
- Subjects :
- medicine.medical_specialty
Dose
Renal function
heart failure
elderly-patients
Guidelines
Medication
HFmrEF
Internal medicine
medicine
Outpatient clinic
Medical prescription
therapy
Ejection fraction
business.industry
Guideline
HFrEF
medicine.disease
Adherence
Heart failure
Original Article
reduced ejection fraction
Cardiology and Cardiovascular Medicine
business
Ivabradine
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 15685888
- Volume :
- 28
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Netherlands Heart Journal
- Accession number :
- edsair.doi.dedup.....699469b5db999b4b56105285901ea98a