Prevalence of Heart Failure and Adherence to Process Indicators

Which Socio-Demographic Determinants are Involved

Bibliographic Data

ID15475162
AuthorsAlessandra Buja (0000-0003-2216-3807, University of Padua, corresponding author), Giuliana Solinas (0000-0003-2174-0983, University of Sassari), Modesta Visca (Italian National Agency for the Evaluation of Universities and Research Institutes), Bruno Federico (0000-0002-8629-4366, Università degli studi di Cassino e del Lazio Meridionale), Rosa Gini (0000-0002-6250-877X, Agenzia Regionale di Sanità della Toscana), Vincenzo Baldo (0000-0001-6012-9453, University of Padua), Paolo Francesconi (0000-0002-0343-0642, Agenzia Regionale di Sanità della Toscana), Gino Sartor (0000-0003-0056-9048, University of Padua), Mariadonata Bellentani (Italian National Agency for the Evaluation of Universities and Research Institutes), Gianfranco Damiani (0000-0003-3028-6188, Università Cattolica del Sacro Cuore)
Year2016
Volume13
Issue2
Pages238-238
Publication date2016-02-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph13020238
PMID26907316
OpenAlexW2279769392
LanguageEN
Citations received4
References cited2

Interest in chronic conditions reflects their role as the first cause of death and disability in developed countries; improving the management of these conditions is a priority for health care services. The aim of this study was to establish which sociodemographic factors influence adherence to standards of care for chronic heart failure (CHF). A generalized multilevel structural equation model was developed and applied to a sample of patients with CHF obtained from administrative data flows in six Italian regions to ascertain any associations between adherence to standards of care for CHF and sociodemographic variables. Indicators of compliance were adherence to beta-blocker therapy (BB-A) and Angiotensin Convertin Enzime inhibitor/Angiotensin Receptor Blocker therapy (ACE-A), and creatinine and electrolyte testing (CNK-T). All indicators were computed over a one-year follow-up. Among a cohort of 24,997 patients, the BB-A rate was 40.4%, the ACE-A rate 61.1%, and the CNK-T rate 57.0%. Factors found associated with adherence were gender, age, and citizenship. Our study shows an inadequate adherence to standards of care for CHF, particularly associated with certain sociodemographic characteristics. This suggests the need to improve the role of primary care in managing this chronic condition. The measures considered only apply to patients with a reduced Left Ventricular Ejection Fraction, hence a limitation of this analysis is the lack of information on left ventricular ejection

Cohort · Ejection fraction · Health care · Heart failure · Intensive care medicine · Cardiac pacing and defibrillation studies · Heart Failure Treatment and Management · Medication Adherence and Compliance · Medicine · Emergency Medicine · Internal Medicine

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