Management of heart failure in Piedmont Region

https://doi.org/10.4081/monaldi.2008.415

Authors

  • Nicolò Montali | nicolo.montali@gmail.com Cardiologia Universitaria Osp. Molinette (TO), Italy.
  • Marco Bobbio Cardiologia Universitaria Osp. Molinette (TO), Italy.
  • Enrico Cerrato Cardiologia Universitaria Osp. Molinette (TO), Italy.
  • Giuseppe Azzaro Cardiologia Osp. Civile, Asti, Italy.
  • Bianca Bianchini Cardiologia Osp. S.G. Bosco (TO), Italy.
  • Alessandro Bonzano Cardiologia Osp. Mauriziano (TO), Italy.
  • Maria Vincenza Calì Cardiologia Osp. Civile, Acqui, Italy.
  • Rodolfo Cavaliere Medicina Osp. Mauriziano (TO), Italy.
  • Livio Correndo Cardiologia Osp. SS. Annunziata, Savigliano, Italy.
  • Antonella Deorsola Cardiologia Osp. S. Croce, Cuneo, Italy.
  • Regine Guillevin Medicina Osp. S. Lorenzo, Carmagnola, Italy.
  • Loredana Mainardi Cardiologia Osp. Degli Infermi, Rivoli, Italy.
  • Laura Montagna Cardiologia Osp. S. Luigi, Orbassano, Italy.
  • Massimo Pistono Fondazione Salvatore Maugeri, Veruno, Italy.
  • Gian Paolo Trevi Cardiologia Universitaria Osp. Molinette (TO), Italy.

Abstract

emerging problem in industrialized countries: it continues to be diagnosed at high rates and has an decreased survival time, raising new problems, such as the need of an adequate medical service organization and resource expenditure. Aim of this analysis was a quantitative evaluation of diagnostic and therapeutic resource use for CHF in outpatient departments in Piedmont, Italy. Methods. We performed a cross-sectional observational study, based on a two-month data collection in 12 outpatient departments dedicated to congestive heart failure. Information was obtained on each patient using a specific anonymous data collection form. Results. We obtained and analyzed for the study 547 forms. Mean patient age was 66.1 years, mean ejection fraction was 36.6%. Coronary artery disease accounted for 34.6% of congestive heart failure cases, followed by idiopathic etiology (26.4%). Main comorbidities were diabetes (22.3%) and chronic obstructive pulmonary disease (17.7%). Sixty-nine% of patients received a medical treatment with angiotensin-converting enzyme (ACE) inhibitors, 72.6% with β-blockers, 48.8% with aldosterone antagonists. As far as diagnostic resource use during a six-month period preceeding observation, 46.8% of patients underwent echocardiographic examination, 9.9% Holter ECG, 6.0% coronary angiography. Therapy was more often increased in patients who underwent an instrumental evaluation during the preceeding six-month period. Conclusions. Data suggests that in Piedmont outpatients with chronic heart failure receive a high drug prescription level and a small number of instrumental evaluations, as suggested in main international guidelines.

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Published
2016-01-26
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Original Articles
Keywords:
congestive heart failure, outpatients, health resources, regional health planning
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How to Cite
Montali, Nicolò, Marco Bobbio, Enrico Cerrato, Giuseppe Azzaro, Bianca Bianchini, Alessandro Bonzano, Maria Vincenza Calì, Rodolfo Cavaliere, Livio Correndo, Antonella Deorsola, Regine Guillevin, Loredana Mainardi, Laura Montagna, Massimo Pistono, and Gian Paolo Trevi. 2016. “Management of Heart Failure in Piedmont Region”. Monaldi Archives for Chest Disease 70 (4). https://doi.org/10.4081/monaldi.2008.415.

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