Adherence to European Society of Cardiology Heart Failure Treatment Guideline in Haji Adam Malik General Hospital Medan
DOI:
https://doi.org/10.32734/sumej.v3i1.3382Keywords:
heart failure, Guidelines, ESC, GAIAbstract
Background. Heart failure is a public health problem and the main cause of morbidity and mortality in the world. The goal of the therapy is to reduce symptoms, prevents rehospitalization and increases survivability. Objective. To evaluate the adherence to the European Society of Cardiology for heart failure treatment at H. Adam Malik Medan hospital. Methods. The study was descriptive observational cross sectional design with medical record data of heart failure at H. Adam Malik Hospital, using consecutive sampling method. The adherence of guidelines was assessed by: (1) drug prescribing (“yes” or “no”), and (2) guideline adherence indicator (GAI), both GAI-3 or GAI-5, by calculating the proportion as the number of drugs prescribed by number of drugs indicated to the ESC guidelines. Results. From research, the predominant GAI-3 and GAI-5 were High, which were 54.9% and 59.5%, respectively. The recommended drug used based on indications were ACE-i / ARB (89.1%), beta-blockers (83.4%), MRA (73.6%), diuretics (93.7%), and digitalis (20,8%). Conclusion. The predominant category in adherence to the ESC heart failure treatment guidelines based on GAI-3 and GAI-5 is High.
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References
Pazos-López, P., Peteiro-Vázquez, J. Carcía-Campos, A. et al. 2011, The causes, consequences, and treatment of left or right heart failure. Vascular Health and Risk Management, 7(1), 237–254
Wehling, M. ed., 2012, Drug therapy for the elderly, Springer Science & Business Media.
Riskesdas. 2013 , Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia, (Penyakit Menular), 103.
Luepker, R.V. 2017, “Epidemiology of Heart Failure,” Congestive Heart Failure and Cardiac Transplantation: Clinical, Pathology, Imaging and Molecular Profiles, 93–102.
Giezeman. Maaike. Arne, M. et al. 2017. “Adherence to Guidelines in Patients with Chronic Heart Failure in Primary Health Care.” Scandinavian Journal of Primary Health Care 35 (4): 336–43.
Sitepu, A., & Hamdani, K. 2018, “Adherence to the European Society of Cardiology Guidelines for the Treatment of Chronic Heart Failure,” IOP Conference Series: Earth and Environmental Science 125 (1).
Crespo-Leiro, M.G., Segovia-Cubero. J. González-Costello. et al. 2015. Adherence to the ESC heart failure treatment guidelines in Spain: ESC heart failure long-term registry. Revista Española de Cardiología (English Edition), 68(9), pp.785-793.
Jensen, J., Schou, M., Kistorp, C. et al. 2019, Prevalence of heart failure and the diagnostic value of MR‐proANP in outpatients with type 2 diabetes. Diabetes, Obesity and Metabolism, 21(3), pp.736-740.
Savarese, G. & Lund, L.H. 2017, Global public health burden of heart failure. Cardiac failure review, 3(1), p.7.
Badan Pusat Statistik. 2018, Umur Harapan Hidup Saat Lahir (UUH) Menurut Provinsi, 2010-2018 (Metode Baru).
Lee, J.H., Lim, N.K. Cho, M.C. et al. 2016, Epidemiology of heart failure in Korea: present and future, Korean circulation journal, 46(5), pp.658-664.
Coats, Andrew J.S., Pieske, B, et al. 2016, “2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure of the European Society of Cardiology (ESC)Developed with the Special Contribution Of.” European Heart Journal 37 (27): 2129–2200. https://doi.org/10.1093/eurheartj/ehw128.
Komajda, M., Cowie, M.R. Tavazzi, L. et al. 2017, Physicians' guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry. European journal of heart failure, 19(11), pp.1414-1423.
Störk, S., Hense, H.W. Zentgraf, C. et al. 2008, Pharmacotherapy according to treatment guidelines is associated with lower mortality in a community-based sample of patients with chronic heart failure: A prospective cohort study. European Journal of Heart Failure 10: 1236-1245.
Komajda, M., Lapuerta, P. Hermans, N. et al. 2005, “Adherence to Guidelines Is a Predictor of Outcome in Chronic Heart Failure: The MAHLER Survey.” European Heart Journal 26 (16): 1653–59.
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