Are Hospitalized or Ambulatory Patients with Heart Failure Treated in Accordance with European Society of Cardiology Guidelines? Evidence from 12 440 Patients of the ESC Heart Failure Long-Term Registry
Why the study?
Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines?
Population
12,440 hospitalized or ambulatory patients with acute or chronic heart failure from the ESC Heart Failure…
Design
Cohort
Authors
Discussion
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Member takes
Implication
High real-world adherence to guidelines in chronic HF when accounting for exceptions; leaves open standardization of acute HF therapy.
Key Points
- To evaluate the adherence to European Society of Cardiology guidelines in the treatment of hospitalized and ambulatory patients with heart failure.
- Analyzed data from 12,440 patients in the ESC Heart Failure Long-Term Registry
- Assessed heterogeneity of treatments in acute heart failure
- Evaluated drug treatment adherence in chronic heart failure
- In chronic heart failure, drug treatment adheres largely to guidelines when considering reasons for non-adherence
- Acute heart failure treatment shows substantial variability
- Implications for developing more practical clinical guidelines in everyday care
Structured PICO
Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines?
P
Population
12,440 hospitalized or ambulatory patients with acute or chronic heart failure from the ESC Heart Failure Long-Term Registry
I
Intervention
Treatment in accordance with European Society of Cardiology (ESC) guidelines
O
Outcome
Adherence to recommendations of current guidelines
Real-world data from a pan-European registry demonstrates that chronic heart failure treatment is largely adherent to ESC guidelines when accounting for valid reasons for non-adherence, though acute heart failure management remains highly heterogeneous.
Cite This Study
Maggioni et al. (2013) studied this question.