PMID- 19551488
OWN - NLM
STAT- MEDLINE
DCOM- 20100520
LR  - 20211020
IS  - 1573-739X (Electronic)
IS  - 0928-1231 (Linking)
VI  - 31
IP  - 5
DP  - 2009 Oct
TI  - Heart failure exacerbation leading to hospital admission: a cross-sectional 
      study.
PG  - 572-579
LID - 10.1007/s11096-009-9305-0 [doi]
AB  - OBJECTIVES: The aim of this pilot study was to investigate cause(s) of heart 
      failure (HF). SETTING: The emergency department and medical wards at Malmo 
      University Hospital. METHOD: A cross sectional pilot study. MAIN OUTCOME 
      MEASURES: Comparison of compliance, comprehension and optimal treatment on a 
      population basis between men and women, younger (< or =75 years) and elderly (>75 
      years) patients, and patients in different New York Heart Association (NYHA) 
      classes, in order to assess if exacerbation could have been caused by any of 
      these factors. RESULTS: Of the 47 patients included, 60% reported high 
      compliance, with significant differences between women and men, and between 
      patients in NYHA class IV and patients in NYHA class III. Comprehension on 
      self-care was poor. Only 30% weighed themselves regularly and 45% did not limit 
      the amount of fluids. No more than 28% reported they would contact a health 
      professional in the case of experiencing more symptoms. Suboptimal treatment was 
      also found to be a great concern. The majority were treated with recommended 
      agents, but had not achieved target dose as recommended in the guidelines. 
      CONCLUSION: This pilot study indicates suboptimal HF management of patients with 
      HF prior to hospital admission due to HF exacerbation. A larger study is needed 
      to assess the extent of the problem, and establish the need and nature of 
      management improvement in different patient subgroups.
FAU - Lehnbom, Elin C
AU  - Lehnbom EC
AD  - Therapeutics Centre, St Vincent's Hospital, Darlinghurst, NSW, 2010, Australia. 
      eleh5333@uni.sydney.edu.au.
AD  - Division of Pharmacokinetics and Drug Therapy, Department of Pharmaceutical 
      Biosciences, Uppsala University, Uppsala, Sweden. eleh5333@uni.sydney.edu.au.
FAU - Bergkvist, Anna C
AU  - Bergkvist AC
AD  - Hospital Pharmacy, University Hospital MAS, Malmo, Sweden.
FAU - Gransbo, Klas
AU  - Gransbo K
AD  - Department of Internal Medicine, University Hospital MAS, Malmo, Sweden.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20090624
PL  - Germany
TA  - Pharm World Sci
JT  - Pharmacy world & science : PWS
JID - 9307352
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross-Sectional Studies
MH  - *Disease Progression
MH  - Female
MH  - Heart Failure/*etiology/*therapy
MH  - *Hospitalization/trends
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pilot Projects
MH  - Self Care/methods
EDAT- 2009/06/25 09:00
MHDA- 2010/05/21 06:00
CRDT- 2009/06/25 09:00
PHST- 2008/10/29 00:00 [received]
PHST- 2009/05/19 00:00 [accepted]
PHST- 2009/06/25 09:00 [entrez]
PHST- 2009/06/25 09:00 [pubmed]
PHST- 2010/05/21 06:00 [medline]
AID - 10.1007/s11096-009-9305-0 [pii]
AID - 10.1007/s11096-009-9305-0 [doi]
PST - ppublish
SO  - Pharm World Sci. 2009 Oct;31(5):572-579. doi: 10.1007/s11096-009-9305-0. Epub 
      2009 Jun 24.