Portal de Periódicos da CAPES

The utility of heart failure registries: a descriptive and comparative study of two heart failure registries

2016; Oxford University Press; Volume: 92; Issue: 1087 Linguagem: Inglês

10.1136/postgradmedj-2015-133739

1469-0756

Joan Carles Trullàs, Òscar Miró, Françesc Formiga, Francisco Javier Martín‐Sánchez, Manuel Montero-Pérez-Barquero, Javier Jacob, Raúl Quirós López, Pablo Herrero, Luís Manzano, Pere Llorens, L. Anarte, Óscar Aramburu, José Carlos Arévalo‐Lorido, Ferruh Baş, Margarita Carrera, J. González, Alicia Conde‐Martel, M.F. Dávila, José Miguel Baena-Díez, Francisco Epelde, Françesc Formiga, Á. Sánchez-González, M.E. Guisado, A. Herrero, Luís Manzano, Ángel David Vázquez Martínez, M. Montero, I. Murado, Roberto Oropesa, J I Garrido Pérez, Miguel A. Quesada, Raúl Quirós López, R Ruiz, P. Salamanca, Mónica Torres Sánchez, J.A. Satué, A. Serrado, Isabelle Suárez, Joan Carles Trullàs, Marta Fuentes, José Manuel González y Fernández Valles, Víctor Gil, Rosa Escoda, Jorge Muñoz Pavón, Ana Bella Álvarez, Antonio Noval, José Manuel Torres, María Luisa López‐Grima, Amparo Valero, Alfons Aguirre, H Sancho, Paloma Ruiz, Antonio Giménez, Jonathan Franco, Sergio Pardo, Ana Belén Mecina, Josep Tost, Jordi Fabregat, Francisco Epelde, Susana Sánchez‐Fidalgo, Pascual Piñera, Raquel Torres Gárate, Aitor Alquézar, Miguel Alberto Rizzi, F Richard, John T. Lucas, Irene Cabello,

Medication Adherence and Compliance

Abstract Background and aim Registries are useful to address questions that are difficult to answer in clinical trials. The objective of this study was to describe and compare two heart failure (HF) cohorts from two Spanish HF registries. Methods We compared the RICA and EAHFE registries, both of which are prospective multicentre cohort studies including patients with decompensated HF consecutively admitted to internal medicine wards (RICA) or attending the emergency department (EAHFE). From the latter registry we only included patients who were admitted to internal medicine wards. Results A total of 5137 patients admitted to internal medicine wards were analysed (RICA: 3287 patients; EAHFE: 1850 patients). Both registries included elderly patients (RICA: mean (SD) age 79 (9) years; EAHFE: mean (SD) age 81 (9) years), with a slight predominance of female gender (52% and 58%, respectively, in the RICA and EAHFE registries) and with a high proportion of patients with preserved ejection fraction (58% and 62%, respectively). Some differences in comorbidities were noted, with diabetes mellitus, dyslipidaemia, chronic renal failure and atrial fibrillation being more frequent in the RICA registry while cognitive and functional impairment predominated in the EAHFE registry. The 30-day mortality after discharge was 3.4% in the RICA registry and 4.8% in the EAHFE registry (p<0.05) and the 30-day readmission rate was 7.5% in the RICA registry (readmission to hospital) and 24.0% in the EAHFE registry (readmission to emergency department) (p<0.001). Conclusions We found differences in the clinical characteristics of patients admitted to Spanish internal medicine wards for decompensated HF depending on inclusion in either the RICA or EAHFE registry.