Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Diagnostic tests, treatment and follow-up in heart failure patients - is there a gender bias in the coherence to guidelines?
Autore:
Mejhert, M; Holmgren, J; Wandell, P; Persson, H; Edner, M;
Indirizzi:
Danderyd Hosp, Karolinska Inst, Div Internal Med, Cardiol Sect, S-18288 Danderyd, Sweden Danderyd Hosp Danderyd Sweden S-18288 iol Sect, S-18288 Danderyd, Sweden Haninge Lakarmottagning, Stockholm, Sweden Haninge Lakarmottagning Stockholm Sweden rmottagning, Stockholm, Sweden Huslakarmottagningen Osteraker, Stockholm, Sweden Huslakarmottagningen Osteraker Stockholm Sweden aker, Stockholm, Sweden
Titolo Testata:
EUROPEAN JOURNAL OF HEART FAILURE
fascicolo: 4, volume: 1, anno: 1999,
pagine: 407 - 410
SICI:
1388-9842(199912)1:4<407:DTTAFI>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Keywords:
heart failure; care process; gender difference; guidelines;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Mejhert, M Danderyd Hosp, Karolinska Inst, Div Internal Med, Cardiol Sect,S-18288 Danderyd, Sweden Danderyd Hosp Danderyd Sweden S-18288 -18288 Danderyd, Sweden
Citazione:
M. Mejhert et al., "Diagnostic tests, treatment and follow-up in heart failure patients - is there a gender bias in the coherence to guidelines?", EUR J HE FA, 1(4), 1999, pp. 407-410

Abstract

Aims: To relate clinical data in a consecutive cohort of patients admittedwith heart failure in Sweden to demographic data and the use of diagnostictests, medical treatment, care process and mortality. Methods and results:Retrospective investigation of all charts concerning patients discharged with primary diagnosis of heart failure in two Swedish hospitals during the second half of 1995 was undertaken. Records from 187 men and 192 women wereanalyzed, median age was 78 years. During hospital stay 75% of the patients, regardless of gender, were examined with chest radiography. Echocardiography was performed in 59% of all patients, more often in men than in women (68% vs. 55%, P < 0.011). The proportion of patients receiving ACE-inhibitors was higher if echocardiography had been performed, in both men (38% vs. 72%, P < 0.001) and women (38% vs. 55%, P < 0.033). Mean hospital stay was 6.4 days. After discharge 57% of the patients were referred to the general practitioners (GP), 21% to the hospital outpatient clinic. Young age (P < 0.001), male gender (P < 0.01) and treatment with P-blocking agents (P < 0.035) were independently related to referral to hospital outpatient clinic. Within the group referred to the GPs, 62% of the patients had a follow-up visit within 3 months after discharge while 49% had visited the hospital outpatient clinic. The 1-year mortality rate was high, 30%. Conclusion: Patients admitted with heart failure in Sweden are old and carry a poor prognosis. In spite of the poor prognosis, only approximately half of the patients are followed-up within 3 months after discharge. There is, in contrast to practice guidelines, an underuse of diagnostic tests of left ventricular function and medical treatment is often suboptimal. These unsatisfactory findings were more pronounced in women. (C) 1999 European Society of Cardiology. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 19:13:21