September 1, 1988Archives of Internal Medicine

Precipitating Factors Leading to Decompensation of Heart Failure

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Why the study?

What are the precipitating factors leading to cardiac decompensation and hospital admission in patients with heart failure?

Population

101 patients admitted for decompensated heart failure in a large public hospital serving a predominantly…

Design

Cross-sectional

Authors

JGJalal K. GhaliHeart Failure & Transplant

Discussion

Member takes

Implication

Nonadherence may predominate in HF decompensation; hypothesis-generating for adherence interventions, with prospective trials needed before practice change.

Structured PICO

What are the precipitating factors leading to cardiac decompensation and hospital admission in patients with heart failure?

Population

101 patients admitted for decompensated heart failure in a large public hospital serving a predominantly working-class minority population (97% black, mean age 59 +/- 14 years, average 3 hospitalizations in preceding year).

Outcome

Precipitating factors leading to cardiac decompensation and subsequent hospital admission

Nonadherence to diet and medication is the leading precipitating factor for heart failure decompensation, highlighting the critical need for patient education.

Cite This Study

Jalal K. Ghali (1988) studied this question.

synapsesocial.com/papers/69fbd6d4df6507d4845ddb0f https://doi.org/10.1001/archinte.1988.00380090087021

Topics

Heart failure HFrEF treatment Heart failure hospitalization Hypertension management

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Implication

Nonadherence may predominate in HF decompensation; hypothesis-generating for adherence interventions, with prospective trials needed before practice change.