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Titolo:
PHARMACOLOGICAL MANAGEMENT OF HEART-FAILURE AMONG OLDER ADULTS BY OFFICE-BASED PHYSICIANS IN THE UNITED-STATES
Autore:
CROFT JB; GILES WH; ROEGNER RH; ANDA RF; CASPER ML; LIVENGOOD JR;
Indirizzi:
CTR DIS CONTROL & PREVENT,CARDIOVASC HLTH STUDIES BRANCH ATLANTA GA 30341
Titolo Testata:
Journal of family practice
fascicolo: 4, volume: 44, anno: 1997,
pagine: 382 - 390
SICI:
0094-3509(1997)44:4<382:PMOHAO>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; AMBULATORY MEDICAL-CARE; ANTIHYPERTENSIVE DRUGS; VASODILATOR THERAPY; TRENDS; MORTALITY; ENALAPRIL; DYSFUNCTION; TRIALS; 1ST;
Keywords:
AGED; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; ANTIHYPERTENSIVE AGENTS; EPIDEMIOLOGY; HEART FAILURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
44
Recensione:
Indirizzi per estratti:
Citazione:
J.B. Croft et al., "PHARMACOLOGICAL MANAGEMENT OF HEART-FAILURE AMONG OLDER ADULTS BY OFFICE-BASED PHYSICIANS IN THE UNITED-STATES", Journal of family practice, 44(4), 1997, pp. 382-390

Abstract

BACKGROUND. Despite the recent availability of new classes of heart failure medications, little is known about national patterns in the actual physician utilization of these drugs. METHODS. In the National Ambulatory Medical Care Survey, 2912 US physicians reported on 16,968 office visits in 1991-1992 with patients aged greater than or equal to 65years. National estimates were obtained from weighted results that accounted for the complex sampling design. RESULTS. An estimated 8.3 million (2.6%) office visits with older adults involved heart failure. This included 9.3% of visits to cardiologists, 4.3% to internists, 3.5% to general and family physicians, and 0.6% to other physicians. The most frequently prescribed medications during visits with these patientswere diuretics (69%), digitalis compounds (46%), angiotensin-converting enzyme inhibitors (30%), and nitrates (19%). Internists and generaland family physicians prescribed angiotensin-converting enzyme inhibitors, digitalis compounds, and loop diuretics for patients with heart failure less often than did cardiologists. CONCLUSIONS. These are the first national surveillance estimates of physician practices in the management of heart failure. These data were collected during the same period in which heart failure clinical trial results were initially published, and they provide a baseline for monitoring the influence of recent clinical practice guidelines and professional education on changes in the management of heart failure by primary care physicians.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 15:38:44